How much rates vary
Facilitymedian $28 · 10th to 90th $14 to $5,012Professionalmedian $20 · 10th to 90th $14 to $30
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 $13.49 Median $14.13 Typical High $14.13 | Facility | None | $13.49 | $14.13 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $14.13 Typical High $14.45 | Professional | None | $13.49 | $14.13 | $14.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $7.08 Typical High $7.08 | Professional | 52 · Reduced service | $6.76 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.82 Typical High $2.88 | Professional | 53 · Discontinued | $2.69 | $2.82 | $2.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $2.09 Typical High $2.14 | Professional | 55 · Aftercare only | $2.04 | $2.09 | $2.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.35 Median $1.41 Typical High $1.45 | Professional | 56 · Pre-op care only | $1.35 | $1.41 | $1.45 |
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 $29.51 Median $29.51 Typical High $30.20 | Professional | None | $29.51 | $29.51 | $30.20 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $29.51 Median $29.51 Typical High $30.20 | Professional | 50 · Both sides | $29.51 | $29.51 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $128.82 | Professional | None | $19.95 | $19.95 | $128.82 |
Geisinger Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Martin's Point Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Martin's Point Setting Professional Modifier None Typical Low $13.49 Median $14.13 Typical High $14.45 | Professional | None | $13.49 | $14.13 | $14.45 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $7.08 Typical High $7.08 | Professional | 52 · Reduced service | $6.76 | $7.08 | $7.08 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.82 Typical High $2.88 | Professional | 53 · Discontinued | $2.69 | $2.82 | $2.88 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $2.09 Typical High $2.14 | Professional | 55 · Aftercare only | $2.04 | $2.09 | $2.14 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.35 Median $1.41 Typical High $1.45 | Professional | 56 · Pre-op care only | $1.35 | $1.41 | $1.45 |
Oscar Health Setting Professional Modifier None Typical Low $30.90 Median $63.10 Typical High $63.10 | Professional | None | $30.90 | $63.10 | $63.10 |
United Setting Professional Modifier None Typical Low $14.45 Median $17.78 Typical High $32.36 | Professional | None | $14.45 | $17.78 | $32.36 |
Where Pennsylvania sits
The same service costs 4.4 times more in Wyoming than in Colorado. 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· 33rd of 51
$19.95
WY $75.86CO $17.38
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.