How much rates vary
Facilitymedian $191 · 10th to 90th $126 to $490Professionalmedian $182 · 10th to 90th $126 to $417
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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $37.15 | Professional | 53 · Discontinued | $36.31 | $36.31 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 54 · Surgery only | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 55 · Aftercare only | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 56 · Pre-op care only | $18.20 | $18.20 | $18.20 |
Capital Blue Cross Setting Facility Modifier None Typical Low $371.54 Median $416.87 Typical High $5,011.87 | Facility | None | $371.54 | $416.87 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $371.54 Median $416.87 Typical High $416.87 | Professional | None | $371.54 | $416.87 | $416.87 |
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 $162.18 Median $363.08 Typical High $426.58 | Professional | None | $162.18 | $363.08 | $426.58 |
Geisinger Setting Professional Modifier None Typical Low $120.23 Median $151.36 Typical High $263.03 | Professional | None | $120.23 | $151.36 | $263.03 |
Martin's Point Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Martin's Point Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $91.20 | $91.20 | $91.20 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $37.15 | Professional | 53 · Discontinued | $36.31 | $36.31 | $37.15 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 54 · Surgery only | $138.04 | $138.04 | $138.04 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 55 · Aftercare only | $27.54 | $27.54 | $27.54 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 56 · Pre-op care only | $18.20 | $18.20 | $18.20 |
Oscar Health Setting Professional Modifier None Typical Low $186.21 Median $223.87 Typical High $281.84 | Professional | None | $186.21 | $223.87 | $281.84 |
UPMC Health Plan Setting Facility Modifier None Typical Low $104.71 Median $120.23 Typical High $120.23 | Facility | None | $104.71 | $120.23 | $120.23 |
UPMC Health Plan Setting Professional Modifier None Typical Low $104.71 Median $120.23 Typical High $120.23 | Professional | None | $104.71 | $120.23 | $120.23 |
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 3.6 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· 29th of 51
$182
WY $427NC $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.