How much rates vary
Facilitymedian $6,918 · 10th to 90th $4,571 to $18,621Professionalmedian $4,898 · 10th to 90th $4,365 to $5,129
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 $5,011.87 Median $7,413.10 Typical High $10,232.93 | Facility | None | $5,011.87 | $7,413.10 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | 52 · Reduced service | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 53 · Discontinued | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 55 · Aftercare only | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 56 · Pre-op care only | $501.19 | $501.19 | $501.19 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $4,897.79 Typical High $5,754.40 | Facility | None | $4,265.80 | $4,897.79 | $5,754.40 |
Capital Blue Cross Setting Professional Modifier None Typical Low $4,365.16 Median $4,897.79 Typical High $4,897.79 | Professional | None | $4,365.16 | $4,897.79 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $5,011.87 Median $8,317.64 Typical High $19,054.61 | Facility | None | $5,011.87 | $8,317.64 | $19,054.61 |
Cigna Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Emblem Health Setting Professional Modifier None Typical Low $5,370.32 Median $5,888.44 Typical High $7,413.10 | Professional | None | $5,370.32 | $5,888.44 | $7,413.10 |
Geisinger Setting Professional Modifier None Typical Low $1,412.54 Median $1,513.56 Typical High $3,019.95 | Professional | None | $1,412.54 | $1,513.56 | $3,019.95 |
Martin's Point Setting Facility Modifier None Typical Low $5,011.87 Median $7,413.10 Typical High $10,232.93 | Facility | None | $5,011.87 | $7,413.10 | $10,232.93 |
Martin's Point Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | 52 · Reduced service | $2,511.89 | $2,511.89 | $2,511.89 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 53 · Discontinued | $1,000.00 | $1,000.00 | $1,000.00 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 55 · Aftercare only | $741.31 | $741.31 | $741.31 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 56 · Pre-op care only | $501.19 | $501.19 | $501.19 |
Oscar Health Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $5,495.41 | Professional | None | $3,715.35 | $3,715.35 | $5,495.41 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,698.24 Median $4,365.16 Typical High $10,000.00 | Facility | None | $1,698.24 | $4,365.16 | $10,000.00 |
United Setting Professional Modifier None Typical Low $4,677.35 Median $5,128.61 Typical High $5,495.41 | Professional | None | $4,677.35 | $5,128.61 | $5,495.41 |
Where Pennsylvania sits
The same service costs 1.8 times more in Alaska than in North Carolina. 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· 20th of 51
$5,012
AK $7,244NC $3,981
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.