How much rates vary
Facilitymedian $151 · 10th to 90th $87 to $479Professionalmedian $89 · 10th to 90th $87 to $141
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 $87.10 Median $87.10 Typical High $89.13 | Facility | None | $87.10 | $87.10 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $89.13 | Professional | None | $87.10 | $87.10 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $43.65 Typical High $44.67 | Professional | 52 · Reduced service | $43.65 | $43.65 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 55 · Aftercare only | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $8.71 Typical High $8.91 | Professional | 56 · Pre-op care only | $8.71 | $8.71 | $8.91 |
Capital Blue Cross Setting Facility Modifier None Typical Low $77.62 Median $87.10 Typical High $104.71 | Facility | None | $77.62 | $87.10 | $104.71 |
Capital Blue Cross Setting Professional Modifier None Typical Low $79.43 Median $87.10 Typical High $87.10 | Professional | None | $79.43 | $87.10 | $87.10 |
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 $131.83 | Professional | None | $125.89 | $125.89 | $131.83 |
Emblem Health Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $218.78 | Professional | None | $74.13 | $87.10 | $218.78 |
Geisinger Setting Professional Modifier None Typical Low $117.49 Median $144.54 Typical High $208.93 | Professional | None | $117.49 | $144.54 | $208.93 |
Martin's Point Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Martin's Point Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $89.13 | Professional | None | $87.10 | $87.10 | $89.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $43.65 Typical High $44.67 | Professional | 52 · Reduced service | $43.65 | $43.65 | $44.67 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $17.78 | $17.78 | $17.78 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 55 · Aftercare only | $13.18 | $13.18 | $13.18 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $8.71 Typical High $8.91 | Professional | 56 · Pre-op care only | $8.71 | $8.71 | $8.91 |
Oscar Health Setting Professional Modifier None Typical Low $97.72 Median $141.25 Typical High $208.93 | Professional | None | $97.72 | $141.25 | $208.93 |
UPMC Health Plan Setting Facility Modifier None Typical Low $151.36 Median $173.78 Typical High $173.78 | Facility | None | $151.36 | $173.78 | $173.78 |
UPMC Health Plan Setting Professional Modifier None Typical Low $151.36 Median $173.78 Typical High $173.78 | Professional | None | $151.36 | $173.78 | $173.78 |
United Setting Professional Modifier None Typical Low $114.82 Median $125.89 Typical High $134.90 | Professional | None | $114.82 | $125.89 | $134.90 |
Where Pennsylvania sits
The same service costs 1.9 times more in Alaska than in New York. 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· 49th of 51
$89.13
AK $162NY $87.10
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.