How much rates vary
Facilitymedian $224 · 10th to 90th $89 to $5,012Professionalmedian $89 · 10th to 90th $52 to $126
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 $97.72 Median $109.65 Typical High $109.65 | Facility | None | $97.72 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $97.72 Typical High $109.65 | Professional | None | $87.10 | $97.72 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $48.98 Typical High $54.95 | Professional | 52 · Reduced service | $43.65 | $48.98 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $19.50 Typical High $21.88 | Professional | 53 · Discontinued | $17.38 | $19.50 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $14.45 Typical High $16.60 | Professional | 55 · Aftercare only | $12.88 | $14.45 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $9.77 Typical High $10.96 | Professional | 56 · Pre-op care only | $8.71 | $9.77 | $10.96 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Emblem Health Setting Professional Modifier None Typical Low $147.91 Median $194.98 Typical High $251.19 | Professional | None | $147.91 | $194.98 | $251.19 |
Geisinger Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Geisinger Setting Professional Modifier None Typical Low $75.86 Median $97.72 Typical High $128.82 | Professional | None | $75.86 | $97.72 | $128.82 |
Martin's Point Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Martin's Point Setting Professional Modifier None Typical Low $89.13 Median $97.72 Typical High $109.65 | Professional | None | $89.13 | $97.72 | $109.65 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $48.98 Typical High $54.95 | Professional | 52 · Reduced service | $44.67 | $48.98 | $54.95 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.50 Typical High $21.88 | Professional | 53 · Discontinued | $17.78 | $19.50 | $21.88 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $14.45 Typical High $16.60 | Professional | 55 · Aftercare only | $13.18 | $14.45 | $16.60 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $9.77 Typical High $10.96 | Professional | 56 · Pre-op care only | $8.91 | $9.77 | $10.96 |
Oscar Health Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
UPMC Health Plan Setting Facility Modifier None Typical Low $89.13 Median $407.38 Typical High $691.83 | Facility | None | $89.13 | $407.38 | $691.83 |
UPMC Health Plan Setting Professional Modifier None Typical Low $87.10 Median $89.13 Typical High $120.23 | Professional | None | $87.10 | $89.13 | $120.23 |
United Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $173.78 | Facility | None | $147.91 | $147.91 | $173.78 |
United Setting Professional Modifier None Typical Low $56.23 Median $61.66 Typical High $67.61 | Professional | None | $56.23 | $61.66 | $67.61 |
Where Pennsylvania sits
The same service costs 3.2 times more in Hawaii than in Arizona. 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
$89.13
HI $166AZ $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.