How much rates vary
Facilitymedian $135 · 10th to 90th $91 to $5,012Professionalmedian $120 · 10th to 90th $91 to $214
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 $91.20 Median $91.20 Typical High $95.50 | Facility | None | $91.20 | $91.20 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $95.50 Typical High $95.50 | Professional | None | $91.20 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $45.71 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $18.20 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $14.45 Typical High $14.45 | Professional | 55 · Aftercare only | $13.80 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.55 Typical High $9.55 | Professional | 56 · Pre-op care only | $9.12 | $9.55 | $9.55 |
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 $120.23 Median $123.03 Typical High $234.42 | Professional | None | $120.23 | $123.03 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Emblem Health Setting Professional Modifier None Typical Low $138.04 Median $177.83 Typical High $239.88 | Professional | None | $138.04 | $177.83 | $239.88 |
Geisinger Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $229.09 | Professional | None | $117.49 | $138.04 | $229.09 |
Martin's Point Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Martin's Point Setting Professional Modifier None Typical Low $91.20 Median $95.50 Typical High $95.50 | Professional | None | $91.20 | $95.50 | $95.50 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $45.71 | $47.86 | $47.86 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $18.20 | $19.05 | $19.05 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $14.45 Typical High $14.45 | Professional | 55 · Aftercare only | $13.80 | $14.45 | $14.45 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.55 Typical High $9.55 | Professional | 56 · Pre-op care only | $9.12 | $9.55 | $9.55 |
Oscar Health Setting Professional Modifier None Typical Low $125.89 Median $173.78 Typical High $281.84 | Professional | None | $125.89 | $173.78 | $281.84 |
UPMC Health Plan Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $134.90 | Facility | None | $117.49 | $117.49 | $134.90 |
UPMC Health Plan Setting Professional Modifier None Typical Low $117.49 Median $134.90 Typical High $134.90 | Professional | None | $117.49 | $134.90 | $134.90 |
United Setting Professional Modifier None Typical Low $102.33 Median $117.49 Typical High $165.96 | Professional | None | $102.33 | $117.49 | $165.96 |
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
$120
AK $302NY $102
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.