How much rates vary
Facilitymedian $102 · 10th to 90th $98 to $107Professionalmedian $95 · 10th to 90th $83 to $148
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 $93.33 Median $102.33 Typical High $123.03 | Facility | None | $93.33 | $102.33 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $93.33 Typical High $102.33 | Professional | None | $91.20 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $46.77 Typical High $51.29 | Professional | 52 · Reduced service | $45.71 | $46.77 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $20.42 | Professional | 53 · Discontinued | $18.62 | $18.62 | $20.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $14.13 Typical High $15.49 | Professional | 55 · Aftercare only | $13.80 | $14.13 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.33 Typical High $10.23 | Professional | 56 · Pre-op care only | $9.12 | $9.33 | $10.23 |
Ambetter Setting Professional Modifier None Typical Low $75.86 Median $89.13 Typical High $117.49 | Professional | None | $75.86 | $89.13 | $117.49 |
Capital Blue Cross Setting Professional Modifier None Typical Low $95.50 Median $100.00 Typical High $154.88 | Professional | None | $95.50 | $100.00 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Emblem Health Setting Professional Modifier None Typical Low $114.82 Median $147.91 Typical High $199.53 | Professional | None | $114.82 | $147.91 | $199.53 |
Geisinger Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $186.21 | Professional | None | $93.33 | $109.65 | $186.21 |
Highmark BCBS Setting Professional Modifier None Typical Low $87.10 Median $89.13 Typical High $89.13 | Professional | None | $87.10 | $89.13 | $89.13 |
Johns Hopkins Employer Health Plan Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Martin's Point Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $123.03 | Facility | None | $102.33 | $102.33 | $123.03 |
Martin's Point Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $102.33 | Professional | None | $93.33 | $93.33 | $102.33 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $46.77 Typical High $51.29 | Professional | 52 · Reduced service | $45.71 | $46.77 | $51.29 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $20.42 | Professional | 53 · Discontinued | $18.62 | $18.62 | $20.42 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $14.13 Typical High $15.49 | Professional | 55 · Aftercare only | $13.80 | $14.13 | $15.49 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $10.23 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $10.23 |
Oscar Health Setting Professional Modifier None Typical Low $112.20 Median $181.97 Typical High $218.78 | Professional | None | $112.20 | $181.97 | $218.78 |
United Setting Facility Modifier None Typical Low $97.72 Median $107.15 Typical High $107.15 | Facility | None | $97.72 | $107.15 | $107.15 |
United Setting Professional Modifier None Typical Low $75.86 Median $89.13 Typical High $123.03 | Professional | None | $75.86 | $89.13 | $123.03 |
Where Pennsylvania sits
The same service costs 3.3 times more in Alaska 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.
Pennsylvania· 23rd of 51
$95.50
AK $229KY $69.18
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.