How much rates vary
Facilitymedian $617 · 10th to 90th $537 to $1,950Professionalmedian $537 · 10th to 90th $525 to $794
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 $537.03 Median $794.33 Typical High $1,380.38 | Facility | None | $537.03 | $794.33 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $794.33 | Professional | None | $537.03 | $537.03 | $794.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $79.43 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $53.70 |
Capital Blue Cross Setting Facility Modifier None Typical Low $512.86 Median $575.44 Typical High $5,011.87 | Facility | None | $512.86 | $575.44 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $891.25 Typical High $2,041.74 | Facility | None | $537.03 | $891.25 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Geisinger Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Geisinger Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $954.99 | Professional | None | $794.33 | $794.33 | $954.99 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $954.99 Typical High $1,380.38 | Facility | None | $537.03 | $954.99 | $1,380.38 |
Martin's Point Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $794.33 | Professional | None | $537.03 | $537.03 | $794.33 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $269.15 | $269.15 | $269.15 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $107.15 | $107.15 | $107.15 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $79.43 | $81.28 | $81.28 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $53.70 |
UPMC Health Plan Setting Facility Modifier None Typical Low $512.86 Median $616.60 Typical High $660.69 | Facility | None | $512.86 | $616.60 | $660.69 |
UPMC Health Plan Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $602.56 | Professional | None | $512.86 | $512.86 | $602.56 |
United Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
United Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $954.99 | Professional | None | $524.81 | $524.81 | $954.99 |
Where Pennsylvania sits
The same service costs 5.0 times more in Wyoming 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· 42nd of 51
$537
WY $1,175AL $234
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.