How much rates vary
Facilitymedian $166 · 10th to 90th $145 to $525Professionalmedian $148 · 10th to 90th $145 to $170
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 $144.54 Median $213.80 Typical High $371.54 | Facility | None | $144.54 | $213.80 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $147.91 Typical High $147.91 | Professional | None | $144.54 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $72.44 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $28.84 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 55 · Aftercare only | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $14.79 Typical High $14.79 | Professional | 56 · Pre-op care only | $14.45 | $14.79 | $14.79 |
Capital Blue Cross Setting Facility Modifier None Typical Low $138.04 Median $158.49 Typical High $186.21 | Facility | None | $138.04 | $158.49 | $186.21 |
Capital Blue Cross Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $245.47 Typical High $549.54 | Facility | None | $144.54 | $245.47 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Geisinger Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Geisinger Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $263.03 | Professional | None | $218.78 | $218.78 | $263.03 |
Martin's Point Setting Facility Modifier None Typical Low $144.54 Median $213.80 Typical High $371.54 | Facility | None | $144.54 | $213.80 | $371.54 |
Martin's Point Setting Professional Modifier None Typical Low $144.54 Median $147.91 Typical High $147.91 | Professional | None | $144.54 | $147.91 | $147.91 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $72.44 | $74.13 | $74.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $28.84 | $29.51 | $29.51 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 55 · Aftercare only | $21.88 | $21.88 | $21.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $14.79 Typical High $14.79 | Professional | 56 · Pre-op care only | $14.45 | $14.79 | $14.79 |
UPMC Health Plan Setting Facility Modifier None Typical Low $131.83 Median $169.82 Typical High $177.83 | Facility | None | $131.83 | $169.82 | $177.83 |
UPMC Health Plan Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $154.88 | Professional | None | $131.83 | $131.83 | $154.88 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $141.25 Median $151.36 Typical High $199.53 | Professional | None | $141.25 | $151.36 | $199.53 |
Where Pennsylvania sits
The same service costs 1.5 times more in Arizona than in Oregon. 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· 31st of 51
$148
AZ $219OR $145
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.