How much rates vary
Facilitymedian $83 · 10th to 90th $46 to $5,012Professionalmedian $85 · 10th to 90th $52 to $89
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 $45.71 Median $45.71 Typical High $54.95 | Facility | None | $45.71 | $45.71 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $54.95 | Professional | None | $45.71 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $22.39 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $9.12 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $8.32 Typical High $8.32 | Professional | 55 · Aftercare only | $6.76 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $5.50 Typical High $5.50 | Professional | 56 · Pre-op care only | $4.47 | $5.50 | $5.50 |
Capital Blue Cross Setting Facility Modifier None Typical Low $74.13 Median $83.18 Typical High $5,011.87 | Facility | None | $74.13 | $83.18 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $89.13 | Professional | None | $85.11 | $85.11 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Geisinger Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Martin's Point Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Martin's Point Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $54.95 | Professional | None | $45.71 | $54.95 | $54.95 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $22.39 | $27.54 | $27.54 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $9.12 | $10.96 | $10.96 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $8.32 Typical High $8.32 | Professional | 55 · Aftercare only | $6.76 | $8.32 | $8.32 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $5.50 Typical High $5.50 | Professional | 56 · Pre-op care only | $4.47 | $5.50 | $5.50 |
Oscar Health Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
United Setting Professional Modifier None Typical Low $60.26 Median $61.66 Typical High $61.66 | Professional | None | $60.26 | $61.66 | $61.66 |
Where Pennsylvania sits
The same service costs 4.6 times more in New York than in North Carolina. 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· 3rd of 51
$85.11
NY $200NC $43.65
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.