How much rates vary
Facilitymedian $155 · 10th to 90th $129 to $479Professionalmedian $132 · 10th to 90th $120 to $151
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 $131.83 Median $181.97 Typical High $331.13 | Facility | None | $131.83 | $181.97 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $134.90 Typical High $144.54 | Professional | None | $131.83 | $134.90 | $144.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $26.30 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 55 · Aftercare only | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.49 Typical High $13.49 | Professional | 56 · Pre-op care only | $13.18 | $13.49 | $13.49 |
Capital Blue Cross Setting Facility Modifier None Typical Low $123.03 Median $141.25 Typical High $165.96 | Facility | None | $123.03 | $141.25 | $165.96 |
Capital Blue Cross Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $218.78 Typical High $501.19 | Facility | None | $131.83 | $218.78 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Geisinger Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Geisinger Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $239.88 | Professional | None | $199.53 | $199.53 | $239.88 |
Martin's Point Setting Facility Modifier None Typical Low $131.83 Median $181.97 Typical High $316.23 | Facility | None | $131.83 | $181.97 | $316.23 |
Martin's Point Setting Professional Modifier None Typical Low $131.83 Median $134.90 Typical High $144.54 | Professional | None | $131.83 | $134.90 | $144.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $66.07 | $66.07 | $66.07 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $26.30 | $26.92 | $26.92 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 55 · Aftercare only | $19.95 | $19.95 | $19.95 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.49 Typical High $13.49 | Professional | 56 · Pre-op care only | $13.18 | $13.49 | $13.49 |
UPMC Health Plan Setting Facility Modifier None Typical Low $89.13 Median $154.88 Typical High $162.18 | Facility | None | $89.13 | $154.88 | $162.18 |
UPMC Health Plan Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | None | $89.13 | $89.13 | $104.71 |
United Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
United Setting Professional Modifier None Typical Low $120.23 Median $128.82 Typical High $218.78 | Professional | None | $120.23 | $128.82 | $218.78 |
Where Pennsylvania sits
The same service costs 8.7 times more in Texas than in Kansas. 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· 19th of 51
$132
TX $355KS $40.74
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.