How much rates vary
Facilitymedian $166 · 10th to 90th $62 to $479Professionalmedian $72 · 10th to 90th $60 to $126
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 $70.79 Median $70.79 Typical High $72.44 | Facility | None | $70.79 | $70.79 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $72.44 | Professional | None | $70.79 | $70.79 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $35.48 Typical High $36.31 | Professional | 52 · Reduced service | $35.48 | $35.48 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $10.96 | Professional | 55 · Aftercare only | $10.72 | $10.72 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $7.24 | Professional | 56 · Pre-op care only | $7.08 | $7.08 | $7.24 |
Capital Blue Cross Setting Facility Modifier None Typical Low $58.88 Median $66.07 Typical High $5,011.87 | Facility | None | $58.88 | $66.07 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $60.26 Median $66.07 Typical High $66.07 | Professional | None | $60.26 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $181.97 Typical High $478.63 | Facility | None | $125.89 | $181.97 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $131.83 | Professional | None | $125.89 | $125.89 | $131.83 |
Emblem Health Setting Professional Modifier None Typical Low $57.54 Median $67.61 Typical High $218.78 | Professional | None | $57.54 | $67.61 | $218.78 |
Geisinger Setting Professional Modifier None Typical Low $28.84 Median $128.82 Typical High $177.83 | Professional | None | $28.84 | $128.82 | $177.83 |
Martin's Point Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Martin's Point Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $72.44 | Professional | None | $70.79 | $70.79 | $72.44 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $35.48 Typical High $36.31 | Professional | 52 · Reduced service | $35.48 | $35.48 | $36.31 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $14.45 | $14.45 | $14.45 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $10.96 | Professional | 55 · Aftercare only | $10.72 | $10.72 | $10.96 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $7.24 | Professional | 56 · Pre-op care only | $7.08 | $7.08 | $7.24 |
Oscar Health Setting Professional Modifier None Typical Low $38.90 Median $58.88 Typical High $87.10 | Professional | None | $38.90 | $58.88 | $87.10 |
UPMC Health Plan Setting Facility Modifier None Typical Low $23.44 Median $26.92 Typical High $26.92 | Facility | None | $23.44 | $26.92 | $26.92 |
UPMC Health Plan Setting Professional Modifier None Typical Low $23.44 Median $26.92 Typical High $26.92 | Professional | None | $23.44 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $134.90 | Professional | None | $107.15 | $125.89 | $134.90 |
Where Pennsylvania sits
The same service costs 2.0 times more in North Dakota than in Maryland. 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· 45th of 51
$72.44
ND $141MD $70.79
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.