How much rates vary
Facilitymedian $8 · 10th to 90th $7 to $78Professionalmedian $7 · 10th to 90th $6 to $11
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 $5.62 Median $5.62 Typical High $7.08 | Facility | None | $5.62 | $5.62 | $7.08 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $7.08 Typical High $7.08 | Professional | None | $5.62 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.83 Median $1.05 Typical High $1.05 | Professional | 55 · Aftercare only | $0.83 | $1.05 | $1.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.56 Median $0.71 Typical High $0.71 | Professional | 56 · Pre-op care only | $0.56 | $0.71 | $0.71 |
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 $9.12 Median $11.48 Typical High $11.48 | Professional | None | $9.12 | $11.48 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $7.59 | Facility | None | $6.92 | $6.92 | $7.59 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $56.23 | Professional | None | $5.89 | $5.89 | $56.23 |
Emblem Health Setting Professional Modifier None Typical Low $7.59 Median $16.98 Typical High $19.50 | Professional | None | $7.59 | $16.98 | $19.50 |
Geisinger Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Geisinger Setting Professional Modifier None Typical Low $6.92 Median $8.13 Typical High $11.75 | Professional | None | $6.92 | $8.13 | $11.75 |
Highmark BCBS Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Martin's Point Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Facility | None | $5.62 | $5.62 | $5.62 |
Martin's Point Setting Professional Modifier None Typical Low $5.62 Median $7.08 Typical High $7.08 | Professional | None | $5.62 | $7.08 | $7.08 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.83 Median $1.05 Typical High $1.05 | Professional | 55 · Aftercare only | $0.83 | $1.05 | $1.05 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.56 Median $0.71 Typical High $0.71 | Professional | 56 · Pre-op care only | $0.56 | $0.71 | $0.71 |
Oscar Health Setting Professional Modifier None Typical Low $11.48 Median $16.22 Typical High $17.38 | Professional | None | $11.48 | $16.22 | $17.38 |
UPMC Health Plan Setting Facility Modifier None Typical Low $8.13 Median $37.15 Typical High $63.10 | Facility | None | $8.13 | $37.15 | $63.10 |
UPMC Health Plan Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $10.96 | Professional | None | $8.13 | $8.13 | $10.96 |
United Setting Professional Modifier None Typical Low $4.37 Median $5.75 Typical High $9.55 | Professional | None | $4.37 | $5.75 | $9.55 |
Where Pennsylvania sits
The same service costs 2.1 times more in Idaho than in Colorado. 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· 28th of 51
$7.08
ID $12.30CO $5.89
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.