How much rates vary
Facilitymedian $141 · 10th to 90th $98 to $5,012Professionalmedian $123 · 10th to 90th $98 to $129
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 $97.72 Median $97.72 Typical High $100.00 | Facility | None | $97.72 | $97.72 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $100.00 Typical High $100.00 | Professional | None | $97.72 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $48.98 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $19.50 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $15.14 Typical High $15.14 | Professional | 55 · Aftercare only | $14.79 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $10.00 Typical High $10.00 | Professional | 56 · Pre-op care only | $9.77 | $10.00 | $10.00 |
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 $123.03 Median $128.82 Typical High $128.82 | Professional | None | $123.03 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Emblem Health Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Geisinger Setting Professional Modifier None Typical Low $93.33 Median $100.00 Typical High $131.83 | Professional | None | $93.33 | $100.00 | $131.83 |
Martin's Point Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Martin's Point Setting Professional Modifier None Typical Low $97.72 Median $100.00 Typical High $100.00 | Professional | None | $97.72 | $100.00 | $100.00 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $48.98 | $50.12 | $50.12 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $19.50 | $19.95 | $19.95 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $15.14 Typical High $15.14 | Professional | 55 · Aftercare only | $14.79 | $15.14 | $15.14 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $10.00 Typical High $10.00 | Professional | 56 · Pre-op care only | $9.77 | $10.00 | $10.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $120.23 Median $141.25 Typical High $141.25 | Facility | None | $120.23 | $141.25 | $141.25 |
UPMC Health Plan Setting Professional Modifier None Typical Low $120.23 Median $125.89 Typical High $141.25 | Professional | None | $120.23 | $125.89 | $141.25 |
United Setting Professional Modifier None Typical Low $109.65 Median $134.90 Typical High $234.42 | Professional | None | $109.65 | $134.90 | $234.42 |
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· 27th of 51
$123
AK $240AZ $93.33
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.