How much rates vary
Facilitymedian $56 · 10th to 90th $43 to $5,012Professionalmedian $66 · 10th to 90th $43 to $83
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 $42.66 Median $42.66 Typical High $43.65 | Facility | None | $42.66 | $42.66 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $43.65 Typical High $43.65 | Professional | None | $42.66 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $21.38 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.71 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.61 Typical High $6.61 | Professional | 55 · Aftercare only | $6.46 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.37 Typical High $4.37 | Professional | 56 · Pre-op care only | $4.27 | $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 $79.43 Median $83.18 Typical High $83.18 | Professional | None | $79.43 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Emblem Health Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Geisinger Setting Professional Modifier None Typical Low $54.95 Median $66.07 Typical High $134.90 | Professional | None | $54.95 | $66.07 | $134.90 |
Martin's Point Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Martin's Point Setting Professional Modifier None Typical Low $42.66 Median $43.65 Typical High $43.65 | Professional | None | $42.66 | $43.65 | $43.65 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $21.38 | $21.88 | $21.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.71 | $8.71 | $8.71 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.61 Typical High $6.61 | Professional | 55 · Aftercare only | $6.46 | $6.61 | $6.61 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.37 Typical High $4.37 | Professional | 56 · Pre-op care only | $4.27 | $4.37 | $4.37 |
UPMC Health Plan Setting Facility Modifier None Typical Low $53.70 Median $56.23 Typical High $56.23 | Facility | None | $53.70 | $56.23 | $56.23 |
UPMC Health Plan Setting Professional Modifier None Typical Low $53.70 Median $56.23 Typical High $56.23 | Professional | None | $53.70 | $56.23 | $56.23 |
United Setting Professional Modifier None Typical Low $43.65 Median $57.54 Typical High $95.50 | Professional | None | $43.65 | $57.54 | $95.50 |
Where Pennsylvania sits
The same service costs 3.0 times more in North Dakota 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· 14th of 51
$64.57
ND $129NY $42.66
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.