How much rates vary
Facilitymedian $129 · 10th to 90th $110 to $398Professionalmedian $110 · 10th to 90th $105 to $115
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 $109.65 Median $134.90 Typical High $275.42 | Facility | None | $109.65 | $134.90 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $21.88 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 54 · Surgery only | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $10.96 |
Capital Blue Cross Setting Facility Modifier None Typical Low $104.71 Median $120.23 Typical High $141.25 | Facility | None | $104.71 | $120.23 | $141.25 |
Capital Blue Cross Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $181.97 Typical High $416.87 | Facility | None | $109.65 | $181.97 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Geisinger Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Geisinger Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $199.53 | Professional | None | $165.96 | $165.96 | $199.53 |
Martin's Point Setting Facility Modifier None Typical Low $109.65 Median $158.49 Typical High $275.42 | Facility | None | $109.65 | $158.49 | $275.42 |
Martin's Point Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $54.95 | $54.95 | $54.95 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $21.88 | $22.39 | $22.39 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 54 · Surgery only | $83.18 | $83.18 | $83.18 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $16.60 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $10.96 |
UPMC Health Plan Setting Facility Modifier None Typical Low $91.20 Median $128.82 Typical High $134.90 | Facility | None | $91.20 | $128.82 | $134.90 |
UPMC Health Plan Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $107.15 | Professional | None | $91.20 | $91.20 | $107.15 |
United Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $144.54 | Professional | None | $104.71 | $104.71 | $144.54 |
Where Pennsylvania sits
The same service costs 5.0 times more in Alabama than in Maryland. 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· 24th of 51
$110
AL $525MD $105
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.