How much rates vary
Facilitymedian $209 · 10th to 90th $126 to $490Professionalmedian $126 · 10th to 90th $107 to $468
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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $16.22 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $10.72 |
Capital Blue Cross Setting Facility Modifier None Typical Low $416.87 Median $467.74 Typical High $5,011.87 | Facility | None | $416.87 | $467.74 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $426.58 Median $467.74 Typical High $467.74 | Professional | None | $426.58 | $467.74 | $467.74 |
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 $162.18 | Professional | None | $125.89 | $125.89 | $162.18 |
Emblem Health Setting Professional Modifier None Typical Low $151.36 Median $478.63 Typical High $478.63 | Professional | None | $151.36 | $478.63 | $478.63 |
Geisinger Setting Professional Modifier None Typical Low $123.03 Median $147.91 Typical High $234.42 | Professional | None | $123.03 | $147.91 | $234.42 |
Martin's Point Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Martin's Point Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $53.70 | $53.70 | $53.70 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $21.38 | $21.38 | $21.38 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $16.22 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $16.22 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $10.72 | $10.72 | $10.72 |
Oscar Health Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $234.42 | Professional | None | $109.65 | $158.49 | $234.42 |
UPMC Health Plan Setting Facility Modifier None Typical Low $173.78 Median $281.84 Typical High $436.52 | Facility | None | $173.78 | $281.84 | $436.52 |
UPMC Health Plan Setting Professional Modifier None Typical Low $371.54 Median $436.52 Typical High $436.52 | Professional | None | $371.54 | $436.52 | $436.52 |
United Setting Professional Modifier None Typical Low $114.82 Median $125.89 Typical High $165.96 | Professional | None | $114.82 | $125.89 | $165.96 |
Where Pennsylvania sits
The same service costs 6.0 times more in Wyoming than in Montana. 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· 18th of 51
$126
WY $479MT $79.43
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.