How much rates vary
Facilitymedian $24 · 10th to 90th $19 to $79Professionalmedian $20 · 10th to 90th $19 to $26
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 $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $31.62 | Professional | None | $18.62 | $18.62 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | 53 · Discontinued | $3.72 | $3.72 | $3.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | 55 · Aftercare only | $2.82 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | 56 · Pre-op care only | $1.86 | $1.86 | $1.86 |
AmeriHealth Setting Professional Modifier None Typical Low $21.38 Median $25.70 Typical High $25.70 | Professional | None | $21.38 | $25.70 | $25.70 |
Capital Blue Cross Setting Facility Modifier None Typical Low $19.05 Median $21.38 Typical High $5,011.87 | Facility | None | $19.05 | $21.38 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $34.67 Typical High $79.43 | Facility | None | $20.42 | $34.67 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Geisinger Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $21.38 | Facility | None | $20.89 | $20.89 | $21.38 |
Geisinger Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Independence Blue Cross Setting Professional Modifier None Typical Low $21.38 Median $25.70 Typical High $25.70 | Professional | None | $21.38 | $25.70 | $25.70 |
Martin's Point Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Martin's Point Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $32.36 | Professional | None | $18.62 | $18.62 | $32.36 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $9.33 | $9.33 | $9.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | 53 · Discontinued | $3.72 | $3.72 | $3.72 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | 55 · Aftercare only | $2.82 | $2.82 | $2.82 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | 56 · Pre-op care only | $1.86 | $1.86 | $1.86 |
Oscar Health Setting Facility Modifier None Typical Low $44.67 Median $63.10 Typical High $66.07 | Facility | None | $44.67 | $63.10 | $66.07 |
UPMC Health Plan Setting Facility Modifier None Typical Low $20.42 Median $23.99 Typical High $23.99 | Facility | None | $20.42 | $23.99 | $23.99 |
UPMC Health Plan Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $23.99 | Professional | None | $20.42 | $20.42 | $23.99 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $20.89 | Facility | None | $19.50 | $19.50 | $20.89 |
United Setting Professional Modifier None Typical Low $20.89 Median $21.88 Typical High $27.54 | Professional | None | $20.89 | $21.88 | $27.54 |
Where Pennsylvania sits
The same service costs 2.1 times more in Alabama than in Rhode Island. 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· 33rd of 51
$20.89
AL $38.90RI $18.62
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.