How much rates vary
Facilitymedian $200 · 10th to 90th $138 to $5,012Professionalmedian $158 · 10th to 90th $138 to $166
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 $138.04 Median $138.04 Typical High $141.25 | Facility | None | $138.04 | $138.04 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $141.25 Typical High $141.25 | Professional | None | $138.04 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $69.18 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $27.54 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 55 · Aftercare only | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $14.13 Typical High $14.13 | Professional | 56 · Pre-op care only | $13.80 | $14.13 | $14.13 |
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 $158.49 Median $165.96 Typical High $165.96 | Professional | None | $158.49 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Emblem Health Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Geisinger Setting Professional Modifier None Typical Low $120.23 Median $128.82 Typical High $169.82 | Professional | None | $120.23 | $128.82 | $169.82 |
Martin's Point Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Martin's Point Setting Professional Modifier None Typical Low $138.04 Median $141.25 Typical High $141.25 | Professional | None | $138.04 | $141.25 | $141.25 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $69.18 | $70.79 | $70.79 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $27.54 | $28.18 | $28.18 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 55 · Aftercare only | $20.89 | $20.89 | $20.89 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $14.13 Typical High $14.13 | Professional | 56 · Pre-op care only | $13.80 | $14.13 | $14.13 |
UPMC Health Plan Setting Facility Modifier None Typical Low $158.49 Median $199.53 Typical High $199.53 | Facility | None | $158.49 | $199.53 | $199.53 |
UPMC Health Plan Setting Professional Modifier None Typical Low $158.49 Median $162.18 Typical High $199.53 | Professional | None | $158.49 | $162.18 | $199.53 |
United Setting Professional Modifier None Typical Low $151.36 Median $190.55 Typical High $331.13 | Professional | None | $151.36 | $190.55 | $331.13 |
Where Pennsylvania sits
The same service costs 2.6 times more in Alaska than in Arizona. 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
$158
AK $316AZ $120
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.