How much rates vary
Facilitymedian $2 · 10th to 90th $1 to $15Professionalmedian $1 · 10th to 90th $1 to $2
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 $1.10 Median $1.10 Typical High $1.38 | Facility | None | $1.10 | $1.10 | $1.38 |
Aetna Setting Professional Modifier None Typical Low $1.10 Median $1.38 Typical High $1.38 | Professional | None | $1.10 | $1.38 | $1.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.16 Median $0.21 Typical High $0.21 | Professional | 55 · Aftercare only | $0.16 | $0.21 | $0.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.14 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.11 | $0.14 | $0.14 |
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 $1.78 Median $2.24 Typical High $2.24 | Professional | None | $1.78 | $2.24 | $2.24 |
Cigna Setting Facility Modifier None Typical Low $1.41 Median $1.41 Typical High $1.74 | Facility | None | $1.41 | $1.41 | $1.74 |
Cigna Setting Professional Modifier None Typical Low $1.20 Median $1.20 Typical High $11.22 | Professional | None | $1.20 | $1.20 | $11.22 |
Emblem Health Setting Professional Modifier None Typical Low $1.91 Median $3.47 Typical High $3.98 | Professional | None | $1.91 | $3.47 | $3.98 |
Geisinger Setting Facility Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Facility | None | $2.29 | $2.29 | $2.29 |
Geisinger Setting Professional Modifier None Typical Low $1.12 Median $1.35 Typical High $2.29 | Professional | None | $1.12 | $1.35 | $2.29 |
Highmark BCBS Setting Professional Modifier None Typical Low $1.55 Median $1.55 Typical High $1.55 | Professional | None | $1.55 | $1.55 | $1.55 |
Martin's Point Setting Facility Modifier None Typical Low $1.10 Median $1.10 Typical High $1.10 | Facility | None | $1.10 | $1.10 | $1.10 |
Martin's Point Setting Professional Modifier None Typical Low $1.10 Median $1.38 Typical High $1.38 | Professional | None | $1.10 | $1.38 | $1.38 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.16 Median $0.21 Typical High $0.21 | Professional | 55 · Aftercare only | $0.16 | $0.21 | $0.21 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.14 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.11 | $0.14 | $0.14 |
Oscar Health Setting Professional Modifier None Typical Low $1.41 Median $3.09 Typical High $3.31 | Professional | None | $1.41 | $3.09 | $3.31 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1.58 Median $7.24 Typical High $12.59 | Facility | None | $1.58 | $7.24 | $12.59 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $2.14 | Professional | None | $1.58 | $1.58 | $2.14 |
United Setting Professional Modifier None Typical Low $0.87 Median $1.12 Typical High $1.86 | Professional | None | $0.87 | $1.12 | $1.86 |
Where Pennsylvania sits
The same service costs 5.4 times more in Kansas than in Kentucky. 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· 30th of 51
$1.41
KS $6.31KY $1.17
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.