How much rates vary
Facilitymedian $31 · 10th to 90th $10 to $4,266Professionalmedian $17 · 10th to 90th $9 to $30
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 $10.23 Median $10.47 Typical High $20.42 | Facility | None | $10.23 | $10.47 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $15.14 Typical High $20.42 | Professional | None | $9.55 | $15.14 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $8.32 Typical High $10.23 | Professional | 52 · Reduced service | $4.79 | $8.32 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $2.40 Typical High $4.17 | Professional | 53 · Discontinued | $1.91 | $2.40 | $4.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.45 Median $1.82 Typical High $3.09 | Professional | 55 · Aftercare only | $1.45 | $1.82 | $3.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.95 Median $1.20 Typical High $2.04 | Professional | 56 · Pre-op care only | $0.95 | $1.20 | $2.04 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $5,011.87 Typical High $56,234.13 | Facility | None | $3,981.07 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $17.38 Median $27.54 Typical High $41.69 | Professional | None | $17.38 | $27.54 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $16.60 Typical High $29.51 | Professional | None | $8.32 | $16.60 | $29.51 |
Emblem Health Setting Professional Modifier None Typical Low $4.27 Median $5.01 Typical High $30.20 | Professional | None | $4.27 | $5.01 | $30.20 |
Geisinger Setting Professional Modifier None Typical Low $12.02 Median $23.44 Typical High $38.02 | Professional | None | $12.02 | $23.44 | $38.02 |
Martin's Point Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $20.42 | Facility | None | $10.23 | $10.23 | $20.42 |
Martin's Point Setting Professional Modifier None Typical Low $9.55 Median $15.14 Typical High $20.42 | Professional | None | $9.55 | $15.14 | $20.42 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $8.32 Typical High $10.23 | Professional | 52 · Reduced service | $4.79 | $8.32 | $10.23 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $2.19 Typical High $4.17 | Professional | 53 · Discontinued | $1.91 | $2.19 | $4.17 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.45 Median $1.82 Typical High $3.09 | Professional | 55 · Aftercare only | $1.45 | $1.82 | $3.09 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.95 Median $1.10 Typical High $2.04 | Professional | 56 · Pre-op care only | $0.95 | $1.10 | $2.04 |
Oscar Health Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $35.48 | Professional | None | $22.39 | $22.39 | $35.48 |
UPMC Health Plan Setting Facility Modifier None Typical Low $16.98 Median $35.48 Typical High $50.12 | Facility | None | $16.98 | $35.48 | $50.12 |
UPMC Health Plan Setting Professional Modifier None Typical Low $8.71 Median $17.38 Typical High $39.81 | Professional | None | $8.71 | $17.38 | $39.81 |
United Setting Professional Modifier None Typical Low $8.32 Median $16.22 Typical High $28.84 | Professional | None | $8.32 | $16.22 | $28.84 |
Where Pennsylvania sits
The same service costs 3.2 times more in Wisconsin than in Nebraska. 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· 35th of 51
$17.38
WI $46.77NE $14.45
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.