How much rates vary
Facilitymedian $302 · 10th to 90th $65 to $1,660Professionalmedian $12 · 10th to 90th $11 to $24
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 $10.72 Median $11.48 Typical High $11.48 | Facility | None | $10.72 | $11.48 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $11.48 Typical High $12.02 | Professional | None | $10.72 | $11.48 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $5.75 Typical High $6.03 | Professional | 52 · Reduced service | $5.37 | $5.75 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.29 Typical High $2.45 | Professional | 53 · Discontinued | $2.14 | $2.29 | $2.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.58 Median $1.74 Typical High $1.82 | Professional | 55 · Aftercare only | $1.58 | $1.74 | $1.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.15 Typical High $1.20 | Professional | 56 · Pre-op care only | $1.07 | $1.15 | $1.20 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $56,234.13 | Facility | None | $2,630.27 | $3,019.95 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $11.75 Median $19.05 Typical High $25.12 | Professional | None | $11.75 | $19.05 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $467.74 Typical High $1,412.54 | Facility | None | $354.81 | $467.74 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $13.18 Typical High $24.55 | Professional | None | $11.48 | $13.18 | $24.55 |
Emblem Health Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $17.38 | Professional | None | $16.22 | $16.22 | $17.38 |
Geisinger Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $14.79 | Professional | None | $10.72 | $10.72 | $14.79 |
Martin's Point Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Martin's Point Setting Professional Modifier None Typical Low $10.72 Median $11.48 Typical High $11.75 | Professional | None | $10.72 | $11.48 | $11.75 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $5.75 Typical High $5.89 | Professional | 52 · Reduced service | $5.37 | $5.75 | $5.89 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.29 Typical High $2.34 | Professional | 53 · Discontinued | $2.14 | $2.29 | $2.34 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.58 Median $1.74 Typical High $1.78 | Professional | 55 · Aftercare only | $1.58 | $1.74 | $1.78 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.15 Typical High $1.17 | Professional | 56 · Pre-op care only | $1.07 | $1.15 | $1.17 |
Oscar Health Setting Professional Modifier None Typical Low $12.88 Median $28.18 Typical High $45.71 | Professional | None | $12.88 | $28.18 | $45.71 |
UPMC Health Plan Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
UPMC Health Plan Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,412.54 | Facility | None | $77.62 | $158.49 | $1,412.54 |
United Setting Professional Modifier None Typical Low $11.48 Median $13.80 Typical High $24.55 | Professional | None | $11.48 | $13.80 | $24.55 |
Where Pennsylvania sits
The same service costs 12.3 times more in Florida 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· 49th of 51
$13.18
FL $132KY $10.72
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.