How much rates vary
Facilitymedian $617 · 10th to 90th $79 to $5,012Professionalmedian $126 · 10th to 90th $46 to $457
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 $125.89 Median $2,344.23 Typical High $8,317.64 | Facility | None | $125.89 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $87.10 Typical High $125.89 | Professional | None | $45.71 | $87.10 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $43.65 Typical High $63.10 | Professional | 52 · Reduced service | $22.91 | $43.65 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $17.38 Typical High $25.70 | Professional | 53 · Discontinued | $9.12 | $17.38 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $34.67 Median $66.07 Typical High $95.50 | Professional | 54 · Surgery only | $34.67 | $66.07 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $13.18 Typical High $19.05 | Professional | 55 · Aftercare only | $6.92 | $13.18 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $8.71 Typical High $12.59 | Professional | 56 · Pre-op care only | $4.57 | $8.71 | $12.59 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $5,011.87 Typical High $56,234.13 | Facility | None | $3,981.07 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $436.52 Median $457.09 Typical High $457.09 | Professional | None | $436.52 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $645.65 Typical High $2,290.87 | Facility | None | $446.68 | $645.65 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Martin's Point Setting Facility Modifier None Typical Low $426.58 Median $2,137.96 Typical High $7,244.36 | Facility | None | $426.58 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $45.71 Median $87.10 Typical High $125.89 | Professional | None | $45.71 | $87.10 | $125.89 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $43.65 Typical High $63.10 | Professional | 52 · Reduced service | $22.91 | $43.65 | $63.10 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $17.38 Typical High $25.70 | Professional | 53 · Discontinued | $9.12 | $17.38 | $25.70 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $34.67 Median $66.07 Typical High $95.50 | Professional | 54 · Surgery only | $34.67 | $66.07 | $95.50 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $13.18 Typical High $19.05 | Professional | 55 · Aftercare only | $6.92 | $13.18 | $19.05 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $8.71 Typical High $12.59 | Professional | 56 · Pre-op care only | $4.57 | $8.71 | $12.59 |
UPMC Health Plan Setting Facility Modifier None Typical Low $954.99 Median $1,288.25 Typical High $2,137.96 | Facility | None | $954.99 | $1,288.25 | $2,137.96 |
United Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $1,230.27 | Facility | None | $70.79 | $141.25 | $1,230.27 |
United Setting Professional Modifier None Typical Low $54.95 Median $60.26 Typical High $67.61 | Professional | None | $54.95 | $60.26 | $67.61 |
Where Pennsylvania sits
The same service costs 16.6 times more in California than in Texas. 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· 22nd of 51
$126
CA $832TX $50.12
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.