How much rates vary
Facilitymedian $40 · 10th to 90th $27 to $5,012Professionalmedian $34 · 10th to 90th $27 to $62
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 $26.92 Median $26.92 Typical High $28.18 | Facility | None | $26.92 | $26.92 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $28.18 Typical High $28.18 | Professional | None | $26.92 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $14.13 Typical High $14.13 | Professional | 52 · Reduced service | $13.49 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.62 Typical High $5.62 | Professional | 53 · Discontinued | $5.37 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $4.17 Typical High $4.17 | Professional | 55 · Aftercare only | $3.98 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.69 Median $2.82 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.69 | $2.82 | $2.82 |
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 $33.88 Median $35.48 Typical High $67.61 | Professional | None | $33.88 | $35.48 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Emblem Health Setting Professional Modifier None Typical Low $38.90 Median $48.98 Typical High $67.61 | Professional | None | $38.90 | $48.98 | $67.61 |
Geisinger Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $64.57 | Professional | None | $33.11 | $38.90 | $64.57 |
Martin's Point Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Martin's Point Setting Professional Modifier None Typical Low $26.92 Median $28.18 Typical High $28.18 | Professional | None | $26.92 | $28.18 | $28.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $14.13 Typical High $14.13 | Professional | 52 · Reduced service | $13.49 | $14.13 | $14.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.62 Typical High $5.62 | Professional | 53 · Discontinued | $5.37 | $5.62 | $5.62 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $4.17 Typical High $4.17 | Professional | 55 · Aftercare only | $3.98 | $4.17 | $4.17 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.69 Median $2.82 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.69 | $2.82 | $2.82 |
Oscar Health Setting Professional Modifier None Typical Low $35.48 Median $54.95 Typical High $83.18 | Professional | None | $35.48 | $54.95 | $83.18 |
UPMC Health Plan Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $39.81 | Facility | None | $33.88 | $33.88 | $39.81 |
UPMC Health Plan Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $39.81 | Professional | None | $33.88 | $39.81 | $39.81 |
United Setting Professional Modifier None Typical Low $30.20 Median $34.67 Typical High $48.98 | Professional | None | $30.20 | $34.67 | $48.98 |
Where Pennsylvania sits
The same service costs 3.0 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· 28th of 51
$33.88
AK $89.13NY $30.20
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.