How much rates vary
Facilitymedian $195 · 10th to 90th $126 to $479Professionalmedian $126 · 10th to 90th $123 to $224
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 $123.03 Median $123.03 Typical High $125.89 | Facility | None | $123.03 | $123.03 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $125.89 | Professional | None | $123.03 | $123.03 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $61.66 Typical High $63.10 | Professional | 52 · Reduced service | $61.66 | $61.66 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $25.12 | Professional | 53 · Discontinued | $24.55 | $24.55 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 55 · Aftercare only | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $12.30 Typical High $12.59 | Professional | 56 · Pre-op care only | $12.30 | $12.30 | $12.59 |
Capital Blue Cross Setting Facility Modifier None Typical Low $199.53 Median $223.87 Typical High $5,011.87 | Facility | None | $199.53 | $223.87 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $204.17 Median $223.87 Typical High $223.87 | Professional | None | $204.17 | $223.87 | $223.87 |
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 $239.88 Typical High $239.88 | Professional | None | $151.36 | $239.88 | $239.88 |
Geisinger Setting Professional Modifier None Typical Low $117.49 Median $151.36 Typical High $208.93 | Professional | None | $117.49 | $151.36 | $208.93 |
Martin's Point Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Martin's Point Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $125.89 | Professional | None | $123.03 | $123.03 | $125.89 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $61.66 Typical High $63.10 | Professional | 52 · Reduced service | $61.66 | $61.66 | $63.10 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $25.12 | Professional | 53 · Discontinued | $24.55 | $24.55 | $25.12 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 55 · Aftercare only | $18.62 | $18.62 | $18.62 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $12.30 Typical High $12.59 | Professional | 56 · Pre-op care only | $12.30 | $12.30 | $12.59 |
Oscar Health Setting Professional Modifier None Typical Low $134.90 Median $154.88 Typical High $199.53 | Professional | None | $134.90 | $154.88 | $199.53 |
UPMC Health Plan Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
UPMC Health Plan Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
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 1.9 times more in Wyoming 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· 31st of 51
$126
WY $229NC $117
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.