How much rates vary
Facilitymedian $13 · 10th to 90th $9 to $107Professionalmedian $11 · 10th to 90th $9 to $18
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 $8.71 Median $8.71 Typical High $11.22 | Facility | None | $8.71 | $8.71 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $10.72 Typical High $10.72 | Professional | None | $8.71 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.29 Median $1.62 Typical High $1.62 | Professional | 55 · Aftercare only | $1.29 | $1.62 | $1.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.85 Median $1.07 Typical High $1.07 | Professional | 56 · Pre-op care only | $0.85 | $1.07 | $1.07 |
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 $14.13 Median $17.78 Typical High $17.78 | Professional | None | $14.13 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $12.30 Typical High $12.30 | Facility | None | $8.91 | $12.30 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $97.72 | Professional | None | $10.47 | $10.47 | $97.72 |
Emblem Health Setting Professional Modifier None Typical Low $17.78 Median $28.18 Typical High $32.36 | Professional | None | $17.78 | $28.18 | $32.36 |
Geisinger Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Geisinger Setting Professional Modifier None Typical Low $8.91 Median $10.72 Typical High $17.78 | Professional | None | $8.91 | $10.72 | $17.78 |
Highmark BCBS Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
Martin's Point Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $11.22 | Facility | None | $8.71 | $8.71 | $11.22 |
Martin's Point Setting Professional Modifier None Typical Low $8.71 Median $10.72 Typical High $10.72 | Professional | None | $8.71 | $10.72 | $10.72 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.29 Median $1.62 Typical High $1.62 | Professional | 55 · Aftercare only | $1.29 | $1.62 | $1.62 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.85 Median $1.07 Typical High $1.07 | Professional | 56 · Pre-op care only | $0.85 | $1.07 | $1.07 |
Oscar Health Setting Professional Modifier None Typical Low $12.02 Median $25.12 Typical High $26.30 | Professional | None | $12.02 | $25.12 | $26.30 |
UPMC Health Plan Setting Facility Modifier None Typical Low $12.59 Median $57.54 Typical High $97.72 | Facility | None | $12.59 | $57.54 | $97.72 |
UPMC Health Plan Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $16.60 | Professional | None | $12.59 | $12.59 | $16.60 |
United Setting Professional Modifier None Typical Low $6.92 Median $8.71 Typical High $14.79 | Professional | None | $6.92 | $8.71 | $14.79 |
Where Pennsylvania sits
The same service costs 3.0 times more in Hawaii 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· 31st of 51
$11.75
HI $28.18RI $9.33
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.