How much rates vary
Facilitymedian $832 · 10th to 90th $148 to $5,012Professionalmedian $166 · 10th to 90th $120 to $257
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 $147.91 Median $147.91 Typical High $181.97 | Facility | None | $147.91 | $147.91 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $181.97 | Professional | None | $147.91 | $165.96 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $24.55 Typical High $26.92 | Professional | 55 · Aftercare only | $22.39 | $24.55 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $16.60 Typical High $18.20 | Professional | 56 · Pre-op care only | $14.79 | $16.60 | $18.20 |
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 $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Martin's Point Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $181.97 | Facility | None | $147.91 | $147.91 | $181.97 |
Martin's Point Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $181.97 | Professional | None | $147.91 | $165.96 | $181.97 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $24.55 Typical High $26.92 | Professional | 55 · Aftercare only | $22.39 | $24.55 | $26.92 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $16.60 Typical High $18.20 | Professional | 56 · Pre-op care only | $14.79 | $16.60 | $18.20 |
UPMC Health Plan Setting Facility Modifier None Typical Low $186.21 Median $831.76 Typical High $1,445.44 | Facility | None | $186.21 | $831.76 | $1,445.44 |
UPMC Health Plan Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $245.47 | Professional | None | $186.21 | $186.21 | $245.47 |
United Setting Professional Modifier None Typical Low $89.13 Median $213.80 Typical High $338.84 | Professional | None | $89.13 | $213.80 | $338.84 |
Where Pennsylvania sits
The same service costs 3.3 times more in Iowa than in New York. 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· 37th of 51
$182
IA $282NY $85.11
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.