How much rates vary
Facilitymedian $245 · 10th to 90th $209 to $776Professionalmedian $209 · 10th to 90th $209 to $234
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $316.23 Typical High $549.54 | Facility | None | $208.93 | $316.23 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $213.80 Typical High $213.80 | Professional | None | $208.93 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $104.71 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $32.36 Typical High $32.36 | Professional | 55 · Aftercare only | $31.62 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $21.38 Typical High $21.38 | Professional | 56 · Pre-op care only | $20.89 | $21.38 | $21.38 |
Capital Blue Cross Setting Facility Modifier None Typical Low $199.53 Median $229.09 Typical High $269.15 | Facility | None | $199.53 | $229.09 | $269.15 |
Capital Blue Cross Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $229.09 | Professional | None | $218.78 | $218.78 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $354.81 Typical High $812.83 | Facility | None | $208.93 | $354.81 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Geisinger Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Geisinger Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $380.19 | Professional | None | $316.23 | $316.23 | $380.19 |
Martin's Point Setting Facility Modifier None Typical Low $208.93 Median $316.23 Typical High $549.54 | Facility | None | $208.93 | $316.23 | $549.54 |
Martin's Point Setting Professional Modifier None Typical Low $208.93 Median $213.80 Typical High $213.80 | Professional | None | $208.93 | $213.80 | $213.80 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $104.71 | $107.15 | $107.15 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $42.66 | $42.66 | $42.66 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $32.36 Typical High $32.36 | Professional | 55 · Aftercare only | $31.62 | $32.36 | $32.36 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $21.38 Typical High $21.38 | Professional | 56 · Pre-op care only | $20.89 | $21.38 | $21.38 |
UPMC Health Plan Setting Facility Modifier None Typical Low $190.55 Median $245.47 Typical High $257.04 | Facility | None | $190.55 | $245.47 | $257.04 |
UPMC Health Plan Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $218.78 | Professional | None | $190.55 | $190.55 | $218.78 |
United Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
United Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $288.40 | Professional | None | $208.93 | $208.93 | $288.40 |
Where Pennsylvania sits
The same service costs 1.6 times more in Arizona than in New Jersey. 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· 19th of 51
$214
AZ $339NJ $209
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.