How much rates vary
Facilitymedian $93 · 10th to 90th $63 to $5,012Professionalmedian $79 · 10th to 90th $63 to $81
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 $63.10 Median $63.10 Typical High $64.57 | Facility | None | $63.10 | $63.10 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $64.57 Typical High $64.57 | Professional | None | $63.10 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $31.62 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.59 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $9.77 Typical High $9.77 | Professional | 55 · Aftercare only | $9.55 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.46 Typical High $6.46 | Professional | 56 · Pre-op care only | $6.31 | $6.46 | $6.46 |
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 $79.43 Median $81.28 Typical High $81.28 | Professional | None | $79.43 | $81.28 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Emblem Health Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Geisinger Setting Professional Modifier None Typical Low $58.88 Median $63.10 Typical High $83.18 | Professional | None | $58.88 | $63.10 | $83.18 |
Martin's Point Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Martin's Point Setting Professional Modifier None Typical Low $63.10 Median $64.57 Typical High $64.57 | Professional | None | $63.10 | $64.57 | $64.57 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $31.62 | $32.36 | $32.36 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.59 | $12.88 | $12.88 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $9.77 Typical High $9.77 | Professional | 55 · Aftercare only | $9.55 | $9.77 | $9.77 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.46 Typical High $6.46 | Professional | 56 · Pre-op care only | $6.31 | $6.46 | $6.46 |
UPMC Health Plan Setting Facility Modifier None Typical Low $75.86 Median $93.33 Typical High $93.33 | Facility | None | $75.86 | $93.33 | $93.33 |
UPMC Health Plan Setting Professional Modifier None Typical Low $75.86 Median $79.43 Typical High $93.33 | Professional | None | $75.86 | $79.43 | $93.33 |
United Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $151.36 | Professional | None | $70.79 | $87.10 | $151.36 |
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· 26th of 51
$79.43
AK $155AZ $60.26
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.