How much rates vary
Facilitymedian $56 · 10th to 90th $56 to $5,012Professionalmedian $66 · 10th to 90th $42 to $135
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 $61.66 Median $63.10 Typical High $63.10 | Facility | None | $61.66 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $63.10 Typical High $64.57 | Professional | None | $61.66 | $63.10 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $31.62 Typical High $32.36 | Professional | 52 · Reduced service | $30.20 | $31.62 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.59 Typical High $12.88 | Professional | 53 · Discontinued | $12.30 | $12.59 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.55 Typical High $9.77 | Professional | 55 · Aftercare only | $9.12 | $9.55 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.31 Typical High $6.46 | Professional | 56 · Pre-op care only | $6.17 | $6.31 | $6.46 |
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 $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $134.90 Median $134.90 Typical High $138.04 | Professional | 50 · Both sides | $134.90 | $134.90 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $575.44 | Professional | None | $41.69 | $41.69 | $575.44 |
Geisinger Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $117.49 | Professional | None | $109.65 | $109.65 | $117.49 |
Martin's Point Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Martin's Point Setting Professional Modifier None Typical Low $61.66 Median $63.10 Typical High $64.57 | Professional | None | $61.66 | $63.10 | $64.57 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $31.62 Typical High $32.36 | Professional | 52 · Reduced service | $30.20 | $31.62 | $32.36 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.59 Typical High $12.88 | Professional | 53 · Discontinued | $12.30 | $12.59 | $12.88 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.55 Typical High $9.77 | Professional | 55 · Aftercare only | $9.12 | $9.55 | $9.77 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.31 Typical High $6.46 | Professional | 56 · Pre-op care only | $6.17 | $6.31 | $6.46 |
Oscar Health Setting Professional Modifier None Typical Low $141.25 Median $288.40 Typical High $288.40 | Professional | None | $141.25 | $288.40 | $288.40 |
United Setting Professional Modifier None Typical Low $66.07 Median $79.43 Typical High $147.91 | Professional | None | $66.07 | $79.43 | $147.91 |
Where Pennsylvania sits
The same service costs 4.9 times more in North Dakota than in Delaware. 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· 49th of 51
$64.57
ND $295DE $60.26
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.