How much rates vary
Facilitymedian $135 · 10th to 90th $83 to $1,072Professionalmedian $100 · 10th to 90th $83 to $191
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 $83.18 Median $83.18 Typical High $91.20 | Facility | None | $83.18 | $83.18 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $91.20 Typical High $97.72 | Professional | None | $83.18 | $91.20 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $45.71 Typical High $48.98 | Professional | 52 · Reduced service | $41.69 | $45.71 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $18.20 Typical High $19.50 | Professional | 53 · Discontinued | $16.60 | $18.20 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $13.80 Typical High $14.45 | Professional | 55 · Aftercare only | $12.59 | $13.80 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $9.12 Typical High $9.77 | Professional | 56 · Pre-op care only | $8.32 | $9.12 | $9.77 |
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 $154.88 Median $154.88 Typical High $165.96 | Professional | None | $154.88 | $154.88 | $165.96 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $181.97 Median $204.17 Typical High $204.17 | Professional | 50 · Both sides | $181.97 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $1,122.02 | Professional | None | $100.00 | $100.00 | $1,122.02 |
Emblem Health Setting Professional Modifier None Typical Low $190.55 Median $295.12 Typical High $346.74 | Professional | None | $190.55 | $295.12 | $346.74 |
Geisinger Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Geisinger Setting Professional Modifier None Typical Low $107.15 Median $123.03 Typical High $204.17 | Professional | None | $107.15 | $123.03 | $204.17 |
Martin's Point Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Martin's Point Setting Professional Modifier None Typical Low $83.18 Median $91.20 Typical High $97.72 | Professional | None | $83.18 | $91.20 | $97.72 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $45.71 Typical High $48.98 | Professional | 52 · Reduced service | $41.69 | $45.71 | $48.98 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $18.20 Typical High $19.50 | Professional | 53 · Discontinued | $16.60 | $18.20 | $19.50 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $13.80 Typical High $14.45 | Professional | 55 · Aftercare only | $12.59 | $13.80 | $14.45 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $9.12 Typical High $9.77 | Professional | 56 · Pre-op care only | $8.32 | $9.12 | $9.77 |
Oscar Health Setting Professional Modifier None Typical Low $125.89 Median $208.93 Typical High $302.00 | Professional | None | $125.89 | $208.93 | $302.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $144.54 Median $660.69 Typical High $1,122.02 | Facility | None | $144.54 | $660.69 | $1,122.02 |
UPMC Health Plan Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $190.55 | Professional | None | $144.54 | $144.54 | $190.55 |
United Setting Facility Modifier None Typical Low $63.10 Median $128.82 Typical High $331.13 | Facility | None | $63.10 | $128.82 | $331.13 |
United Setting Professional Modifier None Typical Low $83.18 Median $100.00 Typical High $169.82 | Professional | None | $83.18 | $100.00 | $169.82 |
Where Pennsylvania sits
The same service costs 3.9 times more in Kansas than in New Jersey. 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· 50th of 51
$100
KS $389NJ $100
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.