How much rates vary
Facilitymedian $71 · 10th to 90th $25 to $5,012Professionalmedian $60 · 10th to 90th $45 to $71
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 $54.95 Median $70.79 Typical High $70.79 | Facility | None | $54.95 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $27.54 Typical High $35.48 | Professional | 52 · Reduced service | $27.54 | $27.54 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $14.13 | Professional | 53 · Discontinued | $11.22 | $11.22 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $10.72 | Professional | 55 · Aftercare only | $8.32 | $8.32 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.50 Typical High $7.08 | Professional | 56 · Pre-op care only | $5.50 | $5.50 | $7.08 |
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 $61.66 Median $63.10 Typical High $63.10 | Professional | None | $61.66 | $63.10 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Emblem Health Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $109.65 | Professional | None | $79.43 | $79.43 | $109.65 |
Geisinger Setting Professional Modifier None Typical Low $45.71 Median $66.07 Typical High $109.65 | Professional | None | $45.71 | $66.07 | $109.65 |
Martin's Point Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Martin's Point Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None | $54.95 | $54.95 | $70.79 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $27.54 Typical High $35.48 | Professional | 52 · Reduced service | $27.54 | $27.54 | $35.48 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $14.13 | Professional | 53 · Discontinued | $11.22 | $11.22 | $14.13 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $10.72 | Professional | 55 · Aftercare only | $8.32 | $8.32 | $10.72 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.50 Typical High $7.08 | Professional | 56 · Pre-op care only | $5.50 | $5.50 | $7.08 |
Oscar Health Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $67.61 | Professional | None | $61.66 | $61.66 | $67.61 |
UPMC Health Plan Setting Facility Modifier None Typical Low $24.55 Median $38.02 Typical High $60.26 | Facility | None | $24.55 | $38.02 | $60.26 |
UPMC Health Plan Setting Professional Modifier None Typical Low $24.55 Median $44.67 Typical High $60.26 | Professional | None | $24.55 | $44.67 | $60.26 |
United Setting Facility Modifier None Typical Low $39.81 Median $85.11 Typical High $97.72 | Facility | None | $39.81 | $85.11 | $97.72 |
United Setting Professional Modifier None Typical Low $39.81 Median $51.29 Typical High $57.54 | Professional | None | $39.81 | $51.29 | $57.54 |
Where Pennsylvania sits
The same service costs 2.6 times more in Alaska than in Utah. 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· 28th of 51
$60.26
AK $105UT $39.81
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.