How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1.26 Median $1.26 Typical High $1.35 | Facility | None | $1.26 | $1.26 | $1.35 |
Aetna Setting Professional Modifier None Typical Low $1.26 Median $1.35 Typical High $1.35 | Professional | None | $1.26 | $1.35 | $1.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.19 Median $0.20 Typical High $0.20 | Professional | 55 · Aftercare only | $0.19 | $0.20 | $0.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.14 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.13 | $0.14 | $0.14 |
AmeriHealth Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | None | $1.74 | $1.74 | $1.74 |
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 $2.19 Median $2.19 Typical High $2.29 | Professional | None | $2.19 | $2.19 | $2.29 |
Cigna Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Facility | None | $4.68 | $4.68 | $4.68 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | None | $3.98 | $3.98 | $3.98 |
Geisinger Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | None | $1.86 | $1.86 | $1.86 |
Martin's Point Setting Facility Modifier None Typical Low $1.26 Median $1.26 Typical High $1.26 | Facility | None | $1.26 | $1.26 | $1.26 |
Martin's Point Setting Professional Modifier None Typical Low $1.26 Median $1.35 Typical High $1.35 | Professional | None | $1.26 | $1.35 | $1.35 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.19 Median $0.20 Typical High $0.20 | Professional | 55 · Aftercare only | $0.19 | $0.20 | $0.20 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.14 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.13 | $0.14 | $0.14 |
Oscar Health Setting Professional Modifier None Typical Low $2.40 Median $5.01 Typical High $5.01 | Professional | None | $2.40 | $5.01 | $5.01 |
United Setting Professional Modifier None Typical Low $1.12 Median $1.32 Typical High $2.19 | Professional | None | $1.12 | $1.32 | $2.19 |
Where Pennsylvania sits
The same service costs 6.0 times more in Minnesota 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· 22nd of 51
$2.19
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.