How much rates vary
Facilitymedian $38 · 10th to 90th $38 to $5,012Professionalmedian $58 · 10th to 90th $28 to $93
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 $41.69 Median $42.66 Typical High $42.66 | Facility | None | $41.69 | $42.66 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $42.66 Typical High $43.65 | Professional | None | $41.69 | $42.66 | $43.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $21.38 Typical High $21.88 | Professional | 52 · Reduced service | $20.42 | $21.38 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.51 Typical High $8.71 | Professional | 53 · Discontinued | $8.32 | $8.51 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.46 Typical High $6.61 | Professional | 55 · Aftercare only | $6.17 | $6.46 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.27 Typical High $4.37 | Professional | 56 · Pre-op care only | $4.07 | $4.27 | $4.37 |
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 $91.20 Median $91.20 Typical High $93.33 | Professional | None | $91.20 | $91.20 | $93.33 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $91.20 Median $91.20 Typical High $93.33 | Professional | 50 · Both sides | $91.20 | $91.20 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $389.05 | Professional | None | $27.54 | $27.54 | $389.05 |
Geisinger Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Martin's Point Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Martin's Point Setting Professional Modifier None Typical Low $41.69 Median $42.66 Typical High $43.65 | Professional | None | $41.69 | $42.66 | $43.65 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $21.38 Typical High $21.88 | Professional | 52 · Reduced service | $20.42 | $21.38 | $21.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.51 Typical High $8.71 | Professional | 53 · Discontinued | $8.32 | $8.51 | $8.71 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.46 Typical High $6.61 | Professional | 55 · Aftercare only | $6.17 | $6.46 | $6.61 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.27 Typical High $4.37 | Professional | 56 · Pre-op care only | $4.07 | $4.27 | $4.37 |
Oscar Health Setting Professional Modifier None Typical Low $95.50 Median $190.55 Typical High $190.55 | Professional | None | $95.50 | $190.55 | $190.55 |
United Setting Professional Modifier None Typical Low $44.67 Median $53.70 Typical High $100.00 | Professional | None | $44.67 | $53.70 | $100.00 |
Where Pennsylvania sits
The same service costs 49.0 times more in North Dakota 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· 23rd of 51
$57.54
ND $120HI $2.45
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.