How much rates vary
Facilitymedian $29 · 10th to 90th $15 to $5,012Professionalmedian $21 · 10th to 90th $15 to $32
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 $14.45 Median $15.14 Typical High $15.14 | Facility | None | $14.45 | $15.14 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $15.14 Typical High $15.14 | Professional | None | $14.45 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.41 Typical High $7.59 | Professional | 52 · Reduced service | $7.24 | $7.41 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.02 Typical High $3.02 | Professional | 53 · Discontinued | $2.88 | $3.02 | $3.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.14 Median $2.24 Typical High $2.29 | Professional | 55 · Aftercare only | $2.14 | $2.24 | $2.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.51 Typical High $1.51 | Professional | 56 · Pre-op care only | $1.45 | $1.51 | $1.51 |
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 $30.90 Median $32.36 Typical High $32.36 | Professional | None | $30.90 | $32.36 | $32.36 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $30.90 Median $30.90 Typical High $32.36 | Professional | 50 · Both sides | $30.90 | $30.90 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $138.04 | Professional | None | $20.89 | $20.89 | $138.04 |
Geisinger Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Martin's Point Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Martin's Point Setting Professional Modifier None Typical Low $14.45 Median $15.14 Typical High $15.14 | Professional | None | $14.45 | $15.14 | $15.14 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.41 Typical High $7.59 | Professional | 52 · Reduced service | $7.24 | $7.41 | $7.59 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.02 Typical High $3.02 | Professional | 53 · Discontinued | $2.88 | $3.02 | $3.02 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2.14 Median $2.24 Typical High $2.29 | Professional | 55 · Aftercare only | $2.14 | $2.24 | $2.29 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.51 Typical High $1.51 | Professional | 56 · Pre-op care only | $1.45 | $1.51 | $1.51 |
Oscar Health Setting Professional Modifier None Typical Low $20.42 Median $67.61 Typical High $67.61 | Professional | None | $20.42 | $67.61 | $67.61 |
United Setting Professional Modifier None Typical Low $15.49 Median $18.62 Typical High $34.67 | Professional | None | $15.49 | $18.62 | $34.67 |
Where Pennsylvania sits
The same service costs 4.1 times more in Wyoming 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· 41st of 51
$20.89
WY $75.86UT $18.62
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.