How much rates vary
Facilitymedian $204 · 10th to 90th $117 to $5,012Professionalmedian $447 · 10th to 90th $275 to $501
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $295.12 | Facility | None | $275.42 | $275.42 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $295.12 Typical High $295.12 | Professional | None | $275.42 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $138.04 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $54.95 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $44.67 Typical High $44.67 | Professional | 55 · Aftercare only | $40.74 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $29.51 Typical High $29.51 | Professional | 56 · Pre-op care only | $27.54 | $29.51 | $29.51 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $501.19 | Professional | None | $446.68 | $478.63 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Emblem Health Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Geisinger Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Martin's Point Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Martin's Point Setting Professional Modifier None Typical Low $275.42 Median $295.12 Typical High $295.12 | Professional | None | $275.42 | $295.12 | $295.12 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $138.04 | $147.91 | $147.91 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $54.95 | $58.88 | $58.88 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $44.67 Typical High $44.67 | Professional | 55 · Aftercare only | $40.74 | $44.67 | $44.67 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $29.51 Typical High $29.51 | Professional | 56 · Pre-op care only | $27.54 | $29.51 | $29.51 |
Oscar Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
UPMC Health Plan Setting Facility Modifier None Typical Low $104.71 Median $141.25 Typical High $229.09 | Facility | None | $104.71 | $141.25 | $229.09 |
United Setting Professional Modifier None Typical Low $251.19 Median $288.40 Typical High $446.68 | Professional | None | $251.19 | $288.40 | $446.68 |
Where Pennsylvania sits
The same service costs 17.0 times more in Iowa than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Pennsylvania· 7th of 51
$447
IA $631KY $37.15
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.