How much rates vary
Facilitymedian $2,138 · 10th to 90th $98 to $7,244Professionalmedian $132 · 10th to 90th $63 to $234
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 $147.91 Median $2,344.23 Typical High $8,317.64 | Facility | None | $147.91 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $95.50 Typical High $147.91 | Professional | None | $63.10 | $95.50 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $39.81 Typical High $74.13 | Professional | 52 · Reduced service | $31.62 | $39.81 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $15.85 Typical High $29.51 | Professional | 53 · Discontinued | $12.59 | $15.85 | $29.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $12.02 Typical High $21.88 | Professional | 55 · Aftercare only | $9.55 | $12.02 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $7.94 Typical High $14.79 | Professional | 56 · Pre-op care only | $6.31 | $7.94 | $14.79 |
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 $128.82 Median $204.17 Typical High $245.47 | Professional | None | $128.82 | $204.17 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Emblem Health Setting Professional Modifier None Typical Low $173.78 Median $213.80 Typical High $316.23 | Professional | None | $173.78 | $213.80 | $316.23 |
Geisinger Setting Professional Modifier None Typical Low $58.88 Median $138.04 Typical High $234.42 | Professional | None | $58.88 | $138.04 | $234.42 |
Martin's Point Setting Facility Modifier None Typical Low $478.63 Median $2,137.96 Typical High $7,244.36 | Facility | None | $478.63 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $63.10 Median $95.50 Typical High $147.91 | Professional | None | $63.10 | $95.50 | $147.91 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $39.81 Typical High $74.13 | Professional | 52 · Reduced service | $31.62 | $39.81 | $74.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $15.85 Typical High $29.51 | Professional | 53 · Discontinued | $12.59 | $15.85 | $29.51 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $12.02 Typical High $21.88 | Professional | 55 · Aftercare only | $9.55 | $12.02 | $21.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $7.94 Typical High $14.79 | Professional | 56 · Pre-op care only | $6.31 | $7.94 | $14.79 |
Oscar Health Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $223.87 | Professional | None | $141.25 | $141.25 | $223.87 |
UPMC Health Plan Setting Facility Modifier None Typical Low $47.86 Median $69.18 Typical High $125.89 | Facility | None | $47.86 | $69.18 | $125.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $47.86 Median $97.72 Typical High $125.89 | Professional | None | $47.86 | $97.72 | $125.89 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,754.23 Typical High $3,162.28 | Facility | None | $1,288.25 | $2,754.23 | $3,162.28 |
United Setting Professional Modifier None Typical Low $61.66 Median $107.15 Typical High $147.91 | Professional | None | $61.66 | $107.15 | $147.91 |
Where Pennsylvania sits
The same service costs 30.6 times more in California 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.
Physician feeFacility fee
CA $5,736KY $187
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.