How much rates vary
Facilitymedian $32 · 10th to 90th $5 to $5,012Professionalmedian $6 · 10th to 90th $5 to $10
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 $4.90 Median $4.90 Typical High $6.17 | Facility | None | $4.90 | $4.90 | $6.17 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $6.17 Typical High $6.17 | Professional | None | $4.90 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.74 Median $0.91 Typical High $0.91 | Professional | 55 · Aftercare only | $0.74 | $0.91 | $0.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.49 Median $0.62 Typical High $0.62 | Professional | 56 · Pre-op care only | $0.49 | $0.62 | $0.62 |
AmeriHealth Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | None | $6.46 | $6.46 | $6.46 |
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 $8.91 Median $10.00 Typical High $10.00 | Professional | None | $8.91 | $10.00 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Facility | None | $6.46 | $6.46 | $6.46 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
Emblem Health Setting Professional Modifier None Typical Low $13.49 Median $15.85 Typical High $20.42 | Professional | None | $13.49 | $15.85 | $20.42 |
Geisinger Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
Geisinger Setting Professional Modifier None Typical Low $5.01 Median $5.25 Typical High $10.23 | Professional | None | $5.01 | $5.25 | $10.23 |
Martin's Point Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Facility | None | $4.90 | $4.90 | $4.90 |
Martin's Point Setting Professional Modifier None Typical Low $4.90 Median $6.17 Typical High $6.17 | Professional | None | $4.90 | $6.17 | $6.17 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.74 Median $0.91 Typical High $0.91 | Professional | 55 · Aftercare only | $0.74 | $0.91 | $0.91 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.49 Median $0.62 Typical High $0.62 | Professional | 56 · Pre-op care only | $0.49 | $0.62 | $0.62 |
Oscar Health Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $14.13 | Professional | None | $6.76 | $6.76 | $14.13 |
UPMC Health Plan Setting Facility Modifier None Typical Low $7.08 Median $32.36 Typical High $56.23 | Facility | None | $7.08 | $32.36 | $56.23 |
UPMC Health Plan Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $9.55 | Professional | None | $7.08 | $7.08 | $9.55 |
United Setting Professional Modifier None Typical Low $4.47 Median $5.01 Typical High $7.08 | Professional | None | $4.47 | $5.01 | $7.08 |
Where Pennsylvania sits
The same service costs 3.3 times more in Hawaii 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· 27th of 51
$6.17
HI $15.14UT $4.57
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.