How much rates vary
Facilitymedian $35 · 10th to 90th $34 to $275Professionalmedian $25 · 10th to 90th $20 to $47
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 $20.42 Median $20.42 Typical High $22.39 | Facility | None | $20.42 | $20.42 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $22.39 Typical High $23.99 | Professional | None | $20.42 | $22.39 | $23.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $11.22 Typical High $11.75 | Professional | 52 · Reduced service | $10.23 | $11.22 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.47 Typical High $4.79 | Professional | 53 · Discontinued | $4.07 | $4.47 | $4.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $3.39 Typical High $3.55 | Professional | 55 · Aftercare only | $3.02 | $3.39 | $3.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.24 Typical High $2.40 | Professional | 56 · Pre-op care only | $2.04 | $2.24 | $2.40 |
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 $37.15 Median $37.15 Typical High $39.81 | Professional | None | $37.15 | $37.15 | $39.81 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $44.67 Median $48.98 Typical High $48.98 | Professional | 50 · Both sides | $44.67 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $245.47 | Professional | None | $24.55 | $24.55 | $245.47 |
Emblem Health Setting Professional Modifier None Typical Low $46.77 Median $72.44 Typical High $85.11 | Professional | None | $46.77 | $72.44 | $85.11 |
Geisinger Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Geisinger Setting Professional Modifier None Typical Low $30.20 Median $32.36 Typical High $50.12 | Professional | None | $30.20 | $32.36 | $50.12 |
Martin's Point Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Martin's Point Setting Professional Modifier None Typical Low $20.42 Median $22.39 Typical High $23.99 | Professional | None | $20.42 | $22.39 | $23.99 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $11.22 Typical High $11.75 | Professional | 52 · Reduced service | $10.23 | $11.22 | $11.75 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.47 Typical High $4.79 | Professional | 53 · Discontinued | $4.07 | $4.47 | $4.79 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $3.39 Typical High $3.55 | Professional | 55 · Aftercare only | $3.02 | $3.39 | $3.55 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.24 Typical High $2.40 | Professional | 56 · Pre-op care only | $2.04 | $2.24 | $2.40 |
Oscar Health Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $74.13 | Professional | None | $50.12 | $70.79 | $74.13 |
UPMC Health Plan Setting Facility Modifier None Typical Low $35.48 Median $162.18 Typical High $275.42 | Facility | None | $35.48 | $162.18 | $275.42 |
UPMC Health Plan Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $46.77 | Professional | None | $35.48 | $35.48 | $46.77 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $74.13 | Facility | None | $61.66 | $61.66 | $74.13 |
United Setting Professional Modifier None Typical Low $19.05 Median $24.55 Typical High $37.15 | Professional | None | $19.05 | $24.55 | $37.15 |
Where Pennsylvania sits
The same service costs 2.2 times more in Montana than in Arizona. 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
$24.55
MT $53.70AZ $24.55
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.