How much rates vary
Facilitymedian $30 · 10th to 90th $18 to $5,012Professionalmedian $26 · 10th to 90th $18 to $40
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 $17.38 Median $18.20 Typical High $18.20 | Facility | None | $17.38 | $18.20 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $18.20 Typical High $18.62 | Professional | None | $17.38 | $18.20 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $9.12 Typical High $9.33 | Professional | 52 · Reduced service | $8.71 | $9.12 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.63 Typical High $3.72 | Professional | 53 · Discontinued | $3.55 | $3.63 | $3.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $2.75 Typical High $2.82 | Professional | 55 · Aftercare only | $2.63 | $2.75 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $1.82 Typical High $1.86 | Professional | 56 · Pre-op care only | $1.78 | $1.82 | $1.86 |
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 $38.90 Median $38.90 Typical High $39.81 | Professional | None | $38.90 | $38.90 | $39.81 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $38.90 Median $38.90 Typical High $39.81 | Professional | 50 · Both sides | $38.90 | $38.90 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $165.96 | Professional | None | $21.88 | $21.88 | $165.96 |
Geisinger Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Highmark BCBS Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Martin's Point Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Martin's Point Setting Professional Modifier None Typical Low $17.38 Median $18.20 Typical High $18.62 | Professional | None | $17.38 | $18.20 | $18.62 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $9.12 Typical High $9.33 | Professional | 52 · Reduced service | $8.71 | $9.12 | $9.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.63 Typical High $3.72 | Professional | 53 · Discontinued | $3.55 | $3.63 | $3.72 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $2.75 Typical High $2.82 | Professional | 55 · Aftercare only | $2.63 | $2.75 | $2.82 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $1.82 Typical High $1.86 | Professional | 56 · Pre-op care only | $1.78 | $1.82 | $1.86 |
Oscar Health Setting Professional Modifier None Typical Low $40.74 Median $83.18 Typical High $83.18 | Professional | None | $40.74 | $83.18 | $83.18 |
United Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $42.66 | Professional | None | $19.05 | $22.91 | $42.66 |
Where Pennsylvania sits
The same service costs 6.5 times more in Kansas than in Hawaii. 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
$27.54
KS $135HI $20.89
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.