How much rates vary
Facilitymedian $6,026 · 10th to 90th $4,898 to $19,953Professionalmedian $5,370 · 10th to 90th $5,248 to $5,623
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 $5,370.32 Median $5,370.32 Typical High $7,943.28 | Facility | None | $5,370.32 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,370.32 | $5,370.32 | $5,370.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | 52 · Reduced service | $2,691.53 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 53 · Discontinued | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 55 · Aftercare only | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 56 · Pre-op care only | $537.03 | $537.03 | $537.03 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,570.88 Median $5,248.07 Typical High $6,165.95 | Facility | None | $4,570.88 | $5,248.07 | $6,165.95 |
Capital Blue Cross Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | None | $5,248.07 | $5,248.07 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $5,370.32 Median $8,912.51 Typical High $20,417.38 | Facility | None | $5,370.32 | $8,912.51 | $20,417.38 |
Cigna Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,370.32 | $5,370.32 | $5,370.32 |
Martin's Point Setting Facility Modifier None Typical Low $5,370.32 Median $7,244.36 Typical High $7,943.28 | Facility | None | $5,370.32 | $7,244.36 | $7,943.28 |
Martin's Point Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,370.32 | $5,370.32 | $5,370.32 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | 52 · Reduced service | $2,691.53 | $2,691.53 | $2,691.53 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 53 · Discontinued | $1,071.52 | $1,071.52 | $1,071.52 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 55 · Aftercare only | $794.33 | $794.33 | $794.33 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 56 · Pre-op care only | $537.03 | $537.03 | $537.03 |
United Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $7,244.36 | Professional | None | $5,248.07 | $5,248.07 | $7,244.36 |
Where Pennsylvania sits
The same service costs 2.5 times more in Alaska than in Alabama. 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· 18th of 51
$5,370
AK $8,511AL $3,388
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.