How much rates vary
Facilitymedian $62 · 10th to 90th $42 to $5,012Professionalmedian $54 · 10th to 90th $42 to $98
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 $41.69 Median $41.69 Typical High $43.65 | Facility | None | $41.69 | $41.69 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $43.65 Typical High $43.65 | Professional | None | $41.69 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $20.89 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.32 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.46 Typical High $6.46 | Professional | 55 · Aftercare only | $6.31 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.37 Typical High $4.37 | Professional | 56 · Pre-op care only | $4.17 | $4.37 | $4.37 |
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 $53.70 Median $56.23 Typical High $104.71 | Professional | None | $53.70 | $56.23 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Emblem Health Setting Professional Modifier None Typical Low $61.66 Median $79.43 Typical High $107.15 | Professional | None | $61.66 | $79.43 | $107.15 |
Geisinger Setting Professional Modifier None Typical Low $52.48 Median $61.66 Typical High $102.33 | Professional | None | $52.48 | $61.66 | $102.33 |
Martin's Point Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Martin's Point Setting Professional Modifier None Typical Low $41.69 Median $43.65 Typical High $43.65 | Professional | None | $41.69 | $43.65 | $43.65 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $20.89 | $21.88 | $21.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.32 | $8.71 | $8.71 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.46 Typical High $6.46 | Professional | 55 · Aftercare only | $6.31 | $6.46 | $6.46 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.37 Typical High $4.37 | Professional | 56 · Pre-op care only | $4.17 | $4.37 | $4.37 |
Oscar Health Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $128.82 | Professional | None | $56.23 | $77.62 | $128.82 |
UPMC Health Plan Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $61.66 | Facility | None | $53.70 | $53.70 | $61.66 |
UPMC Health Plan Setting Professional Modifier None Typical Low $53.70 Median $61.66 Typical High $61.66 | Professional | None | $53.70 | $61.66 | $61.66 |
United Setting Professional Modifier None Typical Low $45.71 Median $52.48 Typical High $74.13 | Professional | None | $45.71 | $52.48 | $74.13 |
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· 26th of 51
$53.70
AK $138NY $46.77
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.