How much rates vary
Facilitymedian $224 · 10th to 90th $40 to $5,012Professionalmedian $49 · 10th to 90th $40 to $69
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 $39.81 Median $39.81 Typical High $48.98 | Facility | None | $39.81 | $39.81 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $44.67 Typical High $48.98 | Professional | None | $39.81 | $44.67 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $6.61 Typical High $7.24 | Professional | 55 · Aftercare only | $6.03 | $6.61 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $4.47 Typical High $4.90 | Professional | 56 · Pre-op care only | $3.98 | $4.47 | $4.90 |
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 $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Martin's Point Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $48.98 | Facility | None | $39.81 | $39.81 | $48.98 |
Martin's Point Setting Professional Modifier None Typical Low $39.81 Median $44.67 Typical High $48.98 | Professional | None | $39.81 | $44.67 | $48.98 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $6.61 Typical High $7.24 | Professional | 55 · Aftercare only | $6.03 | $6.61 | $7.24 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $4.47 Typical High $4.90 | Professional | 56 · Pre-op care only | $3.98 | $4.47 | $4.90 |
UPMC Health Plan Setting Facility Modifier None Typical Low $50.12 Median $223.87 Typical High $389.05 | Facility | None | $50.12 | $223.87 | $389.05 |
UPMC Health Plan Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $66.07 | Professional | None | $50.12 | $50.12 | $66.07 |
United Setting Professional Modifier None Typical Low $24.55 Median $57.54 Typical High $91.20 | Professional | None | $24.55 | $57.54 | $91.20 |
Where Pennsylvania sits
The same service costs 5.2 times more in Montana than in Kansas. 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· 41st of 51
$50.12
MT $79.43KS $15.14
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.