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 $32.36 Median $32.36 Typical High $40.74 | Facility | None | $32.36 | $32.36 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $40.74 | Professional | None | $32.36 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $6.17 Typical High $6.17 | Professional | 55 · Aftercare only | $4.90 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $4.07 Typical High $4.07 | Professional | 56 · Pre-op care only | $3.24 | $4.07 | $4.07 |
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 $53.70 Median $66.07 Typical High $66.07 | Professional | None | $53.70 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $331.13 | Professional | None | $33.88 | $33.88 | $331.13 |
Emblem Health Setting Professional Modifier None Typical Low $63.10 Median $97.72 Typical High $114.82 | Professional | None | $63.10 | $97.72 | $114.82 |
Geisinger Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Geisinger Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $67.61 | Professional | None | $40.74 | $47.86 | $67.61 |
Martin's Point Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Martin's Point Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $40.74 | Professional | None | $32.36 | $40.74 | $40.74 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $6.17 Typical High $6.17 | Professional | 55 · Aftercare only | $4.90 | $6.17 | $6.17 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $4.07 Typical High $4.07 | Professional | 56 · Pre-op care only | $3.24 | $4.07 | $4.07 |
Oscar Health Setting Professional Modifier None Typical Low $60.26 Median $95.50 Typical High $100.00 | Professional | None | $60.26 | $95.50 | $100.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $47.86 Median $213.80 Typical High $371.54 | Facility | None | $47.86 | $213.80 | $371.54 |
UPMC Health Plan Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $63.10 | Professional | None | $47.86 | $47.86 | $63.10 |
United Setting Professional Modifier None Typical Low $25.70 Median $33.11 Typical High $54.95 | Professional | None | $25.70 | $33.11 | $54.95 |
Where Pennsylvania sits
The same service costs 5.8 times more in Hawaii than in Kansas. 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
$40.74
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.