How much rates vary
Facilitymedian $115 · 10th to 90th $93 to $5,012Professionalmedian $102 · 10th to 90th $93 to $120
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 $93.33 Median $114.82 Typical High $114.82 | Facility | None | $93.33 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $100.00 Typical High $114.82 | Professional | None | $93.33 | $100.00 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $47.86 Typical High $57.54 | Professional | 52 · Reduced service | $46.77 | $47.86 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.50 Typical High $23.44 | Professional | 53 · Discontinued | $18.62 | $19.50 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.45 Typical High $17.38 | Professional | 55 · Aftercare only | $14.13 | $14.45 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.55 Typical High $11.48 | Professional | 56 · Pre-op care only | $9.33 | $9.55 | $11.48 |
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 $104.71 Median $109.65 Typical High $109.65 | Professional | None | $104.71 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $117.49 | Professional | None | $102.33 | $102.33 | $117.49 |
Emblem Health Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $123.03 | Professional | None | $114.82 | $114.82 | $123.03 |
Geisinger Setting Professional Modifier None Typical Low $114.82 Median $147.91 Typical High $190.55 | Professional | None | $114.82 | $147.91 | $190.55 |
Martin's Point Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Martin's Point Setting Professional Modifier None Typical Low $93.33 Median $97.72 Typical High $114.82 | Professional | None | $93.33 | $97.72 | $114.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $57.54 | Professional | 52 · Reduced service | $46.77 | $46.77 | $57.54 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $23.44 | Professional | 53 · Discontinued | $18.62 | $18.62 | $23.44 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $17.38 | Professional | 55 · Aftercare only | $14.13 | $14.13 | $17.38 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $11.48 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $11.48 |
UPMC Health Plan Setting Facility Modifier None Typical Low $93.33 Median $102.33 Typical High $120.23 | Facility | None | $93.33 | $102.33 | $120.23 |
UPMC Health Plan Setting Professional Modifier None Typical Low $93.33 Median $102.33 Typical High $120.23 | Professional | None | $93.33 | $102.33 | $120.23 |
United Setting Professional Modifier None Typical Low $91.20 Median $102.33 Typical High $173.78 | Professional | None | $91.20 | $102.33 | $173.78 |
Where Pennsylvania sits
The same service costs 3.0 times more in Alaska 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· 44th of 51
$102
AK $288WV $97.72
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.