How much rates vary
Facilitymedian $269 · 10th to 90th $48 to $5,012Professionalmedian $54 · 10th to 90th $0 to $83
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 $47.86 Median $47.86 Typical High $58.88 | Facility | None | $47.86 | $47.86 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $53.70 Typical High $58.88 | Professional | None | $47.86 | $53.70 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $7.94 Typical High $8.71 | Professional | 55 · Aftercare only | $7.24 | $7.94 | $8.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $5.37 Typical High $5.89 | Professional | 56 · Pre-op care only | $4.79 | $5.37 | $5.89 |
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 $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | None | $0.09 | $0.09 | $0.09 |
Martin's Point Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $58.88 | Facility | None | $47.86 | $47.86 | $58.88 |
Martin's Point Setting Professional Modifier None Typical Low $47.86 Median $53.70 Typical High $58.88 | Professional | None | $47.86 | $53.70 | $58.88 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $7.94 Typical High $8.71 | Professional | 55 · Aftercare only | $7.24 | $7.94 | $8.71 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $5.37 Typical High $5.89 | Professional | 56 · Pre-op care only | $4.79 | $5.37 | $5.89 |
UPMC Health Plan Setting Facility Modifier None Typical Low $60.26 Median $269.15 Typical High $467.74 | Facility | None | $60.26 | $269.15 | $467.74 |
UPMC Health Plan Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $79.43 | Professional | None | $60.26 | $60.26 | $79.43 |
United Setting Professional Modifier None Typical Low $28.84 Median $69.18 Typical High $109.65 | Professional | None | $28.84 | $69.18 | $109.65 |
Where Pennsylvania sits
The same service costs 5.5 times more in Iowa 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· 36th of 51
$58.88
IA $91.20KS $16.60
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.