How much rates vary
Facilitymedian $229 · 10th to 90th $224 to $8,710Professionalmedian $224 · 10th to 90th $209 to $224
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 $208.93 Median $223.87 Typical High $229.09 | Facility | None | $208.93 | $223.87 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $223.87 | Professional | None | $208.93 | $208.93 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $112.20 | Professional | 52 · Reduced service | $104.71 | $104.71 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $44.67 | Professional | 53 · Discontinued | $41.69 | $41.69 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $33.88 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $22.39 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $22.39 |
Ambetter Setting Professional Modifier None Typical Low $229.09 Median $269.15 Typical High $281.84 | Professional | None | $229.09 | $269.15 | $281.84 |
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 $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None | $15.49 | $15.49 | $15.49 |
Martin's Point Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $229.09 | Facility | None | $223.87 | $223.87 | $229.09 |
Martin's Point Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $223.87 | Professional | None | $208.93 | $208.93 | $223.87 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $112.20 | Professional | 52 · Reduced service | $104.71 | $104.71 | $112.20 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $44.67 | Professional | 53 · Discontinued | $41.69 | $41.69 | $44.67 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $33.88 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $33.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $22.39 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $22.39 |
Optum Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Oscar Health Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
UPMC Health Plan Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
United Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Where Pennsylvania sits
The same service costs 6.3 times more in Alaska than in New York. 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· 21st of 51
$224
AK $339NY $53.70
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.