How much rates vary
Facilitymedian $214 · 10th to 90th $195 to $417Professionalmedian $170 · 10th to 90th $100 to $245
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 $100.00 Median $100.00 Typical High $109.65 | Facility | None | $100.00 | $100.00 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $109.65 Typical High $117.49 | Professional | None | $100.00 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $54.95 Typical High $58.88 | Professional | 52 · Reduced service | $50.12 | $54.95 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $21.88 Typical High $23.44 | Professional | 53 · Discontinued | $19.95 | $21.88 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $16.60 Typical High $17.38 | Professional | 55 · Aftercare only | $15.14 | $16.60 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.96 Typical High $11.75 | Professional | 56 · Pre-op care only | $10.00 | $10.96 | $11.75 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $169.82 Median $190.55 Typical High $190.55 | Professional | None | $169.82 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $1,000.00 | Professional | None | $154.88 | $154.88 | $1,000.00 |
Emblem Health Setting Professional Modifier None Typical Low $177.83 Median $281.84 Typical High $331.13 | Professional | None | $177.83 | $281.84 | $331.13 |
Geisinger Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Geisinger Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $194.98 | Professional | None | $117.49 | $138.04 | $194.98 |
Martin's Point Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Martin's Point Setting Professional Modifier None Typical Low $100.00 Median $109.65 Typical High $117.49 | Professional | None | $100.00 | $109.65 | $117.49 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $54.95 Typical High $58.88 | Professional | 52 · Reduced service | $50.12 | $54.95 | $58.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $21.88 Typical High $23.44 | Professional | 53 · Discontinued | $19.95 | $21.88 | $23.44 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $16.60 Typical High $17.38 | Professional | 55 · Aftercare only | $15.14 | $16.60 | $17.38 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.96 Typical High $11.75 | Professional | 56 · Pre-op care only | $10.00 | $10.96 | $11.75 |
Oscar Health Setting Professional Modifier None Typical Low $190.55 Median $199.53 Typical High $288.40 | Professional | None | $190.55 | $199.53 | $288.40 |
UPMC Health Plan Setting Facility Modifier None Typical Low $218.78 Median $245.47 Typical High $245.47 | Facility | None | $218.78 | $245.47 | $245.47 |
UPMC Health Plan Setting Professional Modifier None Typical Low $218.78 Median $245.47 Typical High $245.47 | Professional | None | $218.78 | $245.47 | $245.47 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $416.87 | Facility | None | $346.74 | $346.74 | $416.87 |
United Setting Professional Modifier None Typical Low $120.23 Median $169.82 Typical High $263.03 | Professional | None | $120.23 | $169.82 | $263.03 |
Where Pennsylvania sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 40th of 51
$170
HI $347UT $132
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.