How much rates vary
Facilitymedian $316 · 10th to 90th $20 to $891Professionalmedian $21 · 10th to 90th $17 to $59
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 $17.38 Median $20.42 Typical High $1,412.54 | Facility | None | $17.38 | $20.42 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $18.62 Typical High $20.42 | Professional | None | $16.98 | $18.62 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $9.33 Typical High $10.23 | Professional | 52 · Reduced service | $8.51 | $9.33 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.72 Typical High $4.07 | Professional | 53 · Discontinued | $3.39 | $3.72 | $4.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $2.75 Typical High $3.09 | Professional | 55 · Aftercare only | $2.51 | $2.75 | $3.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $1.86 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.70 | $1.86 | $2.04 |
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 $19.95 Median $20.89 Typical High $66.07 | Professional | None | $19.95 | $20.89 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $478.63 Typical High $575.44 | Facility | None | $223.87 | $478.63 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $33.88 Typical High $53.70 | Professional | None | $19.05 | $33.88 | $53.70 |
Emblem Health Setting Professional Modifier None Typical Low $30.90 Median $40.74 Typical High $53.70 | Professional | None | $30.90 | $40.74 | $53.70 |
Geisinger Setting Professional Modifier None Typical Low $24.55 Median $34.67 Typical High $46.77 | Professional | None | $24.55 | $34.67 | $46.77 |
Highmark BCBS Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $302.00 | Facility | None | $81.28 | $81.28 | $302.00 |
Martin's Point Setting Facility Modifier None Typical Low $20.42 Median $32.36 Typical High $891.25 | Facility | None | $20.42 | $32.36 | $891.25 |
Martin's Point Setting Professional Modifier None Typical Low $16.98 Median $17.38 Typical High $20.42 | Professional | None | $16.98 | $17.38 | $20.42 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $8.71 Typical High $10.23 | Professional | 52 · Reduced service | $8.51 | $8.71 | $10.23 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.47 Typical High $4.07 | Professional | 53 · Discontinued | $3.39 | $3.47 | $4.07 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $2.57 Typical High $3.09 | Professional | 55 · Aftercare only | $2.51 | $2.57 | $3.09 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $1.74 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.70 | $1.74 | $2.04 |
Oscar Health Setting Professional Modifier None Typical Low $24.55 Median $46.77 Typical High $66.07 | Professional | None | $24.55 | $46.77 | $66.07 |
UPMC Health Plan Setting Facility Modifier None Typical Low $18.20 Median $245.47 Typical High $389.05 | Facility | None | $18.20 | $245.47 | $389.05 |
UPMC Health Plan Setting Professional Modifier None Typical Low $18.20 Median $18.62 Typical High $36.31 | Professional | None | $18.20 | $18.62 | $36.31 |
United Setting Facility Modifier None Typical Low $302.00 Median $645.65 Typical High $741.31 | Facility | None | $302.00 | $645.65 | $741.31 |
United Setting Professional Modifier None Typical Low $24.55 Median $28.18 Typical High $46.77 | Professional | None | $24.55 | $28.18 | $46.77 |
Where Pennsylvania sits
The same service costs 2.5 times more in Iowa than in Pennsylvania. 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· 51st of 51
$20.89
IA $52.48PA $20.89
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.