How much rates vary
Facilitymedian $468 · 10th to 90th $145 to $1,660Professionalmedian $457 · 10th to 90th $126 to $1,380
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 $457.09 Median $457.09 Typical High $467.74 | Facility | None | $457.09 | $457.09 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $467.74 | Professional | None | $457.09 | $457.09 | $467.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $234.42 | Professional | 52 · Reduced service | $229.09 | $229.09 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $46.77 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $46.77 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,230.27 Median $1,380.38 Typical High $5,011.87 | Facility | None | $1,230.27 | $1,380.38 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1,258.93 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,258.93 | $1,380.38 | $1,380.38 |
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 $162.18 | Professional | None | $125.89 | $125.89 | $162.18 |
Emblem Health Setting Professional Modifier None Typical Low $190.55 Median $1,202.26 Typical High $1,412.54 | Professional | None | $190.55 | $1,202.26 | $1,412.54 |
Geisinger Setting Professional Modifier None Typical Low $117.49 Median $151.36 Typical High $478.63 | Professional | None | $117.49 | $151.36 | $478.63 |
Martin's Point Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Martin's Point Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $467.74 | Professional | None | $457.09 | $457.09 | $467.74 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $229.09 Typical High $234.42 | Professional | 52 · Reduced service | $229.09 | $229.09 | $234.42 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $93.33 | $93.33 | $93.33 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $69.18 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $46.77 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $46.77 |
Oscar Health Setting Professional Modifier None Typical Low $398.11 Median $977.24 Typical High $1,445.44 | Professional | None | $398.11 | $977.24 | $1,445.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $251.19 Median $288.40 Typical High $288.40 | Facility | None | $251.19 | $288.40 | $288.40 |
UPMC Health Plan Setting Professional Modifier None Typical Low $251.19 Median $288.40 Typical High $288.40 | Professional | None | $251.19 | $288.40 | $288.40 |
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 12.0 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· 13th of 51
$457
WY $1,413NC $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.