How much rates vary
Facilitymedian $4,266 · 10th to 90th $12 to $56,234Professionalmedian $25 · 10th to 90th $10 to $26
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $10.47 Median $12.02 Typical High $12.02 | Facility | None | $10.47 | $12.02 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $12.02 Typical High $16.98 | Professional | None | $10.47 | $12.02 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $6.03 Typical High $8.32 | Professional | 52 · Reduced service | $5.25 | $6.03 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.58 Median $1.78 Typical High $2.34 | Professional | 55 · Aftercare only | $1.58 | $1.78 | $2.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.20 Typical High $1.62 | Professional | 56 · Pre-op care only | $1.07 | $1.20 | $1.62 |
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 $24.55 Median $24.55 Typical High $25.70 | Professional | None | $24.55 | $24.55 | $25.70 |
Geisinger Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Martin's Point Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
Martin's Point Setting Professional Modifier None Typical Low $10.47 Median $11.75 Typical High $12.02 | Professional | None | $10.47 | $11.75 | $12.02 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $5.89 Typical High $6.03 | Professional | 52 · Reduced service | $5.25 | $5.89 | $6.03 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.58 Median $1.78 Typical High $1.78 | Professional | 55 · Aftercare only | $1.58 | $1.78 | $1.78 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.20 Typical High $1.20 | Professional | 56 · Pre-op care only | $1.07 | $1.20 | $1.20 |
Oscar Health Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
United Setting Professional Modifier None Typical Low $10.00 Median $38.90 Typical High $54.95 | Professional | None | $10.00 | $38.90 | $54.95 |
Where Pennsylvania sits
The same service costs 14.5 times more in Texas than in West Virginia. 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· 26th of 51
$24.55
TX $120WV $8.32
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.