How much rates vary
Facilitymedian $1,318 · 10th to 90th $234 to $5,012Professionalmedian $257 · 10th to 90th $170 to $407
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 $234.42 Median $234.42 Typical High $281.84 | Facility | None | $234.42 | $234.42 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $257.04 Typical High $281.84 | Professional | None | $234.42 | $257.04 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $38.90 Typical High $42.66 | Professional | 55 · Aftercare only | $35.48 | $38.90 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $25.70 Typical High $28.18 | Professional | 56 · Pre-op care only | $23.44 | $25.70 | $28.18 |
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 $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Martin's Point Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $281.84 | Facility | None | $234.42 | $234.42 | $281.84 |
Martin's Point Setting Professional Modifier None Typical Low $234.42 Median $257.04 Typical High $281.84 | Professional | None | $234.42 | $257.04 | $281.84 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $38.90 Typical High $42.66 | Professional | 55 · Aftercare only | $35.48 | $38.90 | $42.66 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $25.70 Typical High $28.18 | Professional | 56 · Pre-op care only | $23.44 | $25.70 | $28.18 |
UPMC Health Plan Setting Facility Modifier None Typical Low $288.40 Median $1,318.26 Typical High $2,238.72 | Facility | None | $288.40 | $1,318.26 | $2,238.72 |
UPMC Health Plan Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $389.05 | Professional | None | $288.40 | $288.40 | $389.05 |
United Setting Professional Modifier None Typical Low $141.25 Median $338.84 Typical High $537.03 | Professional | None | $141.25 | $338.84 | $537.03 |
Where Pennsylvania sits
The same service costs 3.2 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
$282
IA $447NY $141
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.