How much rates vary
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 $25.70 Median $25.70 Typical High $31.62 | Facility | None | $25.70 | $25.70 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $31.62 Typical High $31.62 | Professional | None | $25.70 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $3.80 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $3.16 Typical High $3.16 | Professional | 56 · Pre-op care only | $2.51 | $3.16 | $3.16 |
Ambetter Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $95.50 | Professional | None | $33.88 | $33.88 | $95.50 |
AmeriHealth Setting Facility Modifier None Typical Low $302.00 Median $630.96 Typical High $831.76 | Facility | None | $302.00 | $630.96 | $831.76 |
AmeriHealth Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
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 $42.66 Median $47.86 Typical High $47.86 | Professional | None | $42.66 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Emblem Health Setting Professional Modifier None Typical Low $64.57 Median $70.79 Typical High $91.20 | Professional | None | $64.57 | $70.79 | $91.20 |
Geisinger Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Geisinger Setting Professional Modifier None Typical Low $29.51 Median $31.62 Typical High $48.98 | Professional | None | $29.51 | $31.62 | $48.98 |
Independence Blue Cross Setting Facility Modifier None Typical Low $204.17 Median $478.63 Typical High $724.44 | Facility | None | $204.17 | $478.63 | $724.44 |
Independence Blue Cross Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Martin's Point Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Martin's Point Setting Professional Modifier None Typical Low $25.70 Median $31.62 Typical High $31.62 | Professional | None | $25.70 | $31.62 | $31.62 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $3.80 | $4.79 | $4.79 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $3.16 Typical High $3.16 | Professional | 56 · Pre-op care only | $2.51 | $3.16 | $3.16 |
Oscar Health Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $93.33 | Professional | None | $23.44 | $23.44 | $93.33 |
UPMC Health Plan Setting Facility Modifier None Typical Low $43.65 Median $213.80 Typical High $363.08 | Facility | None | $43.65 | $213.80 | $363.08 |
UPMC Health Plan Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $48.98 | Professional | None | $43.65 | $43.65 | $48.98 |
United Setting Professional Modifier None Typical Low $25.12 Median $28.18 Typical High $42.66 | Professional | None | $25.12 | $28.18 | $42.66 |
Where Pennsylvania sits
The same service costs 5.5 times more in Wyoming than in Utah. 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· 30th of 51
$31.62
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.