How much rates vary
Facilitymedian $178 · 10th to 90th $98 to $479Professionalmedian $126 · 10th to 90th $98 to $170
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 $97.72 Median $97.72 Typical High $100.00 | Facility | None | $97.72 | $97.72 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $100.00 | Professional | None | $97.72 | $97.72 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $19.95 | Professional | 53 · Discontinued | $19.50 | $19.50 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 55 · Aftercare only | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $9.77 Typical High $10.00 | Professional | 56 · Pre-op care only | $9.77 | $9.77 | $10.00 |
Capital Blue Cross Setting Facility Modifier None Typical Low $151.36 Median $169.82 Typical High $5,011.87 | Facility | None | $151.36 | $169.82 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $154.88 Median $169.82 Typical High $169.82 | Professional | None | $154.88 | $169.82 | $169.82 |
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 $151.36 | Professional | None | $125.89 | $125.89 | $151.36 |
Emblem Health Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $218.78 | Professional | None | $147.91 | $173.78 | $218.78 |
Geisinger Setting Professional Modifier None Typical Low $75.86 Median $131.83 Typical High $199.53 | Professional | None | $75.86 | $131.83 | $199.53 |
Martin's Point Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Martin's Point Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $100.00 | Professional | None | $97.72 | $97.72 | $100.00 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $48.98 | $48.98 | $48.98 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $19.95 | Professional | 53 · Discontinued | $19.50 | $19.50 | $19.95 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 55 · Aftercare only | $14.79 | $14.79 | $14.79 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $9.77 Typical High $10.00 | Professional | 56 · Pre-op care only | $9.77 | $9.77 | $10.00 |
Oscar Health Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
UPMC Health Plan Setting Facility Modifier None Typical Low $70.79 Median $83.18 Typical High $83.18 | Facility | None | $70.79 | $83.18 | $83.18 |
UPMC Health Plan Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $83.18 | Professional | None | $70.79 | $83.18 | $83.18 |
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 2.0 times more in Alaska 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· 4th of 51
$126
AK $182NC $89.13
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.