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 $6.61 Median $6.61 Typical High $8.32 | Facility | None | $6.61 | $6.61 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $8.32 Typical High $8.32 | Professional | None | $6.61 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.00 Median $1.23 Typical High $1.23 | Professional | 55 · Aftercare only | $1.00 | $1.23 | $1.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.66 Median $0.81 Typical High $0.81 | Professional | 56 · Pre-op care only | $0.66 | $0.81 | $0.81 |
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 $10.72 Median $13.49 Typical High $13.49 | Professional | None | $10.72 | $13.49 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $66.07 | Professional | None | $6.92 | $6.92 | $66.07 |
Emblem Health Setting Professional Modifier None Typical Low $12.59 Median $19.95 Typical High $22.91 | Professional | None | $12.59 | $19.95 | $22.91 |
Geisinger Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Geisinger Setting Professional Modifier None Typical Low $8.13 Median $9.55 Typical High $13.80 | Professional | None | $8.13 | $9.55 | $13.80 |
Martin's Point Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
Martin's Point Setting Professional Modifier None Typical Low $6.61 Median $8.32 Typical High $8.32 | Professional | None | $6.61 | $8.32 | $8.32 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.00 Median $1.23 Typical High $1.23 | Professional | 55 · Aftercare only | $1.00 | $1.23 | $1.23 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.66 Median $0.81 Typical High $0.81 | Professional | 56 · Pre-op care only | $0.66 | $0.81 | $0.81 |
Oscar Health Setting Professional Modifier None Typical Low $12.30 Median $19.05 Typical High $20.42 | Professional | None | $12.30 | $19.05 | $20.42 |
UPMC Health Plan Setting Facility Modifier None Typical Low $9.55 Median $43.65 Typical High $74.13 | Facility | None | $9.55 | $43.65 | $74.13 |
UPMC Health Plan Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $12.88 | Professional | None | $9.55 | $9.55 | $12.88 |
United Setting Professional Modifier None Typical Low $5.13 Median $6.76 Typical High $11.22 | Professional | None | $5.13 | $6.76 | $11.22 |
Where Pennsylvania sits
The same service costs 5.4 times more in Kansas than in Connecticut. 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
$8.32
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.