How much rates vary
Facilitymedian $245 · 10th to 90th $126 to $490Professionalmedian $126 · 10th to 90th $76 to $275
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 $75.86 Median $75.86 Typical High $77.62 | Facility | None | $75.86 | $75.86 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $77.62 | Professional | None | $75.86 | $75.86 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.49 | Professional | 53 · Discontinued | $15.14 | $15.14 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 55 · Aftercare only | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $7.76 | Professional | 56 · Pre-op care only | $7.59 | $7.59 | $7.76 |
Capital Blue Cross Setting Facility Modifier None Typical Low $245.47 Median $275.42 Typical High $5,011.87 | Facility | None | $245.47 | $275.42 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $251.19 Median $275.42 Typical High $275.42 | Professional | None | $251.19 | $275.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $213.80 Typical High $489.78 | Facility | None | $125.89 | $213.80 | $489.78 |
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 $190.55 Median $239.88 Typical High $288.40 | Professional | None | $190.55 | $239.88 | $288.40 |
Geisinger Setting Professional Modifier None Typical Low $114.82 Median $144.54 Typical High $208.93 | Professional | None | $114.82 | $144.54 | $208.93 |
Martin's Point Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Martin's Point Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $77.62 | Professional | None | $75.86 | $75.86 | $77.62 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $38.02 | $38.02 | $38.02 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.49 | Professional | 53 · Discontinued | $15.14 | $15.14 | $15.49 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 55 · Aftercare only | $11.48 | $11.48 | $11.48 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $7.76 | Professional | 56 · Pre-op care only | $7.59 | $7.59 | $7.76 |
Oscar Health Setting Professional Modifier None Typical Low $95.50 Median $100.00 Typical High $147.91 | Professional | None | $95.50 | $100.00 | $147.91 |
UPMC Health Plan Setting Facility Modifier None Typical Low $169.82 Median $199.53 Typical High $199.53 | Facility | None | $169.82 | $199.53 | $199.53 |
UPMC Health Plan Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $199.53 | Professional | None | $169.82 | $199.53 | $199.53 |
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 3.8 times more in Wyoming than in Kentucky. 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· 22nd of 51
$126
WY $288KY $75.86
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.