How much rates vary
Facilitymedian $468 · 10th to 90th $126 to $955Professionalmedian $126 · 10th to 90th $52 to $955
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 $52.48 Median $52.48 Typical High $53.70 | Facility | None | $52.48 | $52.48 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $53.70 | Professional | None | $52.48 | $52.48 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $26.30 Typical High $26.92 | Professional | 52 · Reduced service | $26.30 | $26.30 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $10.72 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 55 · Aftercare only | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $5.25 Typical High $5.37 | Professional | 56 · Pre-op care only | $5.25 | $5.25 | $5.37 |
Capital Blue Cross Setting Facility Modifier None Typical Low $831.76 Median $954.99 Typical High $1,122.02 | Facility | None | $831.76 | $954.99 | $1,122.02 |
Capital Blue Cross Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $954.99 | Professional | None | $851.14 | $954.99 | $954.99 |
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 $831.76 Typical High $977.24 | Professional | None | $190.55 | $831.76 | $977.24 |
Geisinger Setting Professional Modifier None Typical Low $77.62 Median $144.54 Typical High $208.93 | Professional | None | $77.62 | $144.54 | $208.93 |
Martin's Point Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Martin's Point Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $53.70 | Professional | None | $52.48 | $52.48 | $53.70 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $26.30 Typical High $26.92 | Professional | 52 · Reduced service | $26.30 | $26.30 | $26.92 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $10.72 | $10.72 | $10.72 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 55 · Aftercare only | $7.94 | $7.94 | $7.94 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $5.25 Typical High $5.37 | Professional | 56 · Pre-op care only | $5.25 | $5.25 | $5.37 |
Oscar Health Setting Professional Modifier None Typical Low $64.57 Median $933.25 Typical High $1,380.38 | Professional | None | $64.57 | $933.25 | $1,380.38 |
UPMC Health Plan Setting Facility Modifier None Typical Low $173.78 Median $204.17 Typical High $204.17 | Facility | None | $173.78 | $204.17 | $204.17 |
UPMC Health Plan Setting Professional Modifier None Typical Low $173.78 Median $204.17 Typical High $204.17 | Professional | None | $173.78 | $204.17 | $204.17 |
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 18.6 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· 29th of 51
$126
WY $977KY $52.48
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.