How much rates vary
Facilitymedian $355 · 10th to 90th $52 to $5,012Professionalmedian $66 · 10th to 90th $45 to $107
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 $52.48 Median $52.48 Typical High $66.07 | Facility | None | $52.48 | $52.48 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $66.07 Typical High $66.07 | Professional | None | $52.48 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $26.30 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $10.72 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $10.00 Typical High $10.00 | Professional | 55 · Aftercare only | $7.94 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $6.61 Typical High $6.61 | Professional | 56 · Pre-op care only | $5.25 | $6.61 | $6.61 |
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 $87.10 Median $107.15 Typical High $107.15 | Professional | None | $87.10 | $107.15 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $537.03 | Professional | None | $44.67 | $44.67 | $537.03 |
Emblem Health Setting Professional Modifier None Typical Low $102.33 Median $158.49 Typical High $186.21 | Professional | None | $102.33 | $158.49 | $186.21 |
Geisinger Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Geisinger Setting Professional Modifier None Typical Low $66.07 Median $77.62 Typical High $109.65 | Professional | None | $66.07 | $77.62 | $109.65 |
Martin's Point Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Martin's Point Setting Professional Modifier None Typical Low $52.48 Median $66.07 Typical High $66.07 | Professional | None | $52.48 | $66.07 | $66.07 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $26.30 | $33.11 | $33.11 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $10.72 | $13.18 | $13.18 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $10.00 Typical High $10.00 | Professional | 55 · Aftercare only | $7.94 | $10.00 | $10.00 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $6.61 Typical High $6.61 | Professional | 56 · Pre-op care only | $5.25 | $6.61 | $6.61 |
Oscar Health Setting Professional Modifier None Typical Low $109.65 Median $154.88 Typical High $162.18 | Professional | None | $109.65 | $154.88 | $162.18 |
UPMC Health Plan Setting Facility Modifier None Typical Low $77.62 Median $354.81 Typical High $602.56 | Facility | None | $77.62 | $354.81 | $602.56 |
UPMC Health Plan Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $102.33 | Professional | None | $77.62 | $77.62 | $102.33 |
United Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $89.13 | Professional | None | $41.69 | $53.70 | $89.13 |
Where Pennsylvania sits
The same service costs 2.5 times more in Idaho than in Colorado. 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· 38th of 51
$66.07
ID $115CO $46.77
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.