How much rates vary
Facilitymedian $170 · 10th to 90th $34 to $468Professionalmedian $34 · 10th to 90th $34 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 $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $6.92 | Professional | 53 · Discontinued | $6.76 | $6.76 | $6.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 55 · Aftercare only | $5.13 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.39 Typical High $3.47 | Professional | 56 · Pre-op care only | $3.39 | $3.39 | $3.47 |
Capital Blue Cross Setting Facility Modifier None Typical Low $30.20 Median $33.88 Typical High $40.74 | Facility | None | $30.20 | $33.88 | $40.74 |
Capital Blue Cross Setting Professional Modifier None Typical Low $30.90 Median $33.88 Typical High $33.88 | Professional | None | $30.90 | $33.88 | $33.88 |
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 $33.88 Median $33.88 Typical High $234.42 | Professional | None | $33.88 | $33.88 | $234.42 |
Geisinger Setting Professional Modifier None Typical Low $48.98 Median $141.25 Typical High $177.83 | Professional | None | $48.98 | $141.25 | $177.83 |
Martin's Point Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Martin's Point Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $16.98 | $16.98 | $16.98 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $6.92 | Professional | 53 · Discontinued | $6.76 | $6.76 | $6.92 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 55 · Aftercare only | $5.13 | $5.13 | $5.13 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.39 Typical High $3.47 | Professional | 56 · Pre-op care only | $3.39 | $3.39 | $3.47 |
Oscar Health Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $52.48 | Professional | None | $35.48 | $41.69 | $52.48 |
United Setting Professional Modifier None Typical Low $114.82 Median $125.89 Typical High $134.90 | Professional | None | $114.82 | $125.89 | $134.90 |
Where Pennsylvania sits
The same service costs 4.2 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· 48th of 51
$33.88
ND $141MD $33.88
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.