How much rates vary
Facilitymedian $120 · 10th to 90th $62 to $339Professionalmedian $62 · 10th to 90th $60 to $120
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 $61.66 Typical High $93.33 | Facility | None | $61.66 | $61.66 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $12.30 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 55 · Aftercare only | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 56 · Pre-op care only | $6.17 | $6.17 | $6.17 |
Capital Blue Cross Setting Facility Modifier None Typical Low $104.71 Median $120.23 Typical High $5,011.87 | Facility | None | $104.71 | $120.23 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $107.15 Median $120.23 Typical High $120.23 | Professional | None | $107.15 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $102.33 Typical High $234.42 | Facility | None | $61.66 | $102.33 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Emblem Health Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $147.91 | Professional | None | $60.26 | $70.79 | $147.91 |
Geisinger Setting Professional Modifier None Typical Low $44.67 Median $46.77 Typical High $77.62 | Professional | None | $44.67 | $46.77 | $77.62 |
Martin's Point Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $93.33 | Facility | None | $61.66 | $61.66 | $93.33 |
Martin's Point Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $30.90 | $30.90 | $30.90 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $12.30 | $12.30 | $12.30 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 55 · Aftercare only | $9.33 | $9.33 | $9.33 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 56 · Pre-op care only | $6.17 | $6.17 | $6.17 |
Oscar Health Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
UPMC Health Plan Setting Facility Modifier None Typical Low $74.13 Median $190.55 Typical High $338.84 | Facility | None | $74.13 | $190.55 | $338.84 |
United Setting Professional Modifier None Typical Low $53.70 Median $60.26 Typical High $64.57 | Professional | None | $53.70 | $60.26 | $64.57 |
Where Pennsylvania sits
The same service costs 1.6 times more in Alaska 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· 12th of 51
$61.66
AK $91.20HI $56.23
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.