How much rates vary
Facilitymedian $91 · 10th to 90th $76 to $5,012Professionalmedian $79 · 10th to 90th $74 to $91
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 $74.13 Median $91.20 Typical High $91.20 | Facility | None | $74.13 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $91.20 | Professional | None | $74.13 | $74.13 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $37.15 Typical High $45.71 | Professional | 52 · Reduced service | $37.15 | $37.15 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $18.20 | Professional | 53 · Discontinued | $14.79 | $14.79 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $10.96 Typical High $13.49 | Professional | 55 · Aftercare only | $10.96 | $10.96 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $9.12 | Professional | 56 · Pre-op care only | $7.41 | $7.41 | $9.12 |
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 $79.43 Median $81.28 Typical High $81.28 | Professional | None | $79.43 | $81.28 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Emblem Health Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Geisinger Setting Professional Modifier None Typical Low $58.88 Median $63.10 Typical High $100.00 | Professional | None | $58.88 | $63.10 | $100.00 |
Martin's Point Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Martin's Point Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $91.20 | Professional | None | $74.13 | $74.13 | $91.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $37.15 Typical High $45.71 | Professional | 52 · Reduced service | $37.15 | $37.15 | $45.71 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $18.20 | Professional | 53 · Discontinued | $14.79 | $14.79 | $18.20 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $10.96 Typical High $13.49 | Professional | 55 · Aftercare only | $10.96 | $10.96 | $13.49 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $9.12 | Professional | 56 · Pre-op care only | $7.41 | $7.41 | $9.12 |
Oscar Health Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
UPMC Health Plan Setting Facility Modifier None Typical Low $75.86 Median $91.20 Typical High $91.20 | Facility | None | $75.86 | $91.20 | $91.20 |
UPMC Health Plan Setting Professional Modifier None Typical Low $75.86 Median $79.43 Typical High $91.20 | Professional | None | $75.86 | $79.43 | $91.20 |
United Setting Professional Modifier None Typical Low $72.44 Median $87.10 Typical High $154.88 | Professional | None | $72.44 | $87.10 | $154.88 |
Where Pennsylvania sits
The same service costs 2.2 times more in Alaska than in Kentucky. 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· 39th of 51
$79.43
AK $145KY $64.57
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.