How much rates vary
Facilitymedian $170 · 10th to 90th $50 to $479Professionalmedian $69 · 10th to 90th $50 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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $33.88 Typical High $34.67 | Professional | 52 · Reduced service | $33.88 | $33.88 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.23 Typical High $10.47 | Professional | 55 · Aftercare only | $10.23 | $10.23 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | 56 · Pre-op care only | $6.92 | $6.92 | $6.92 |
Capital Blue Cross Setting Facility Modifier None Typical Low $43.65 Median $50.12 Typical High $5,011.87 | Facility | None | $43.65 | $50.12 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | None | $44.67 | $50.12 | $50.12 |
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 $43.65 Median $51.29 Typical High $218.78 | Professional | None | $43.65 | $51.29 | $218.78 |
Geisinger Setting Professional Modifier None Typical Low $100.00 Median $144.54 Typical High $208.93 | Professional | None | $100.00 | $144.54 | $208.93 |
Martin's Point Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Martin's Point Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $33.88 Typical High $34.67 | Professional | 52 · Reduced service | $33.88 | $33.88 | $34.67 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $13.80 | $13.80 | $13.80 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.23 Typical High $10.47 | Professional | 55 · Aftercare only | $10.23 | $10.23 | $10.47 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | 56 · Pre-op care only | $6.92 | $6.92 | $6.92 |
Oscar Health Setting Professional Modifier None Typical Low $81.28 Median $83.18 Typical High $123.03 | Professional | None | $81.28 | $83.18 | $123.03 |
UPMC Health Plan Setting Facility Modifier None Typical Low $77.62 Median $89.13 Typical High $89.13 | Facility | None | $77.62 | $89.13 | $89.13 |
UPMC Health Plan Setting Professional Modifier None Typical Low $77.62 Median $89.13 Typical High $89.13 | Professional | None | $77.62 | $89.13 | $89.13 |
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 2.7 times more in North Dakota 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· 48th of 51
$69.18
ND $141NC $52.48
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.