How much rates vary
Facilitymedian $6 · 10th to 90th $5 to $62Professionalmedian $6 · 10th to 90th $4 to $9
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 $4.47 Median $4.47 Typical High $5.62 | Facility | None | $4.47 | $4.47 | $5.62 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $5.62 Typical High $5.62 | Professional | None | $4.47 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.24 Median $2.82 Typical High $2.82 | Professional | 52 · Reduced service | $2.24 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $1.12 Typical High $1.12 | Professional | 53 · Discontinued | $0.89 | $1.12 | $1.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.68 Median $0.83 Typical High $0.83 | Professional | 55 · Aftercare only | $0.68 | $0.83 | $0.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.45 Median $0.56 Typical High $0.56 | Professional | 56 · Pre-op care only | $0.45 | $0.56 | $0.56 |
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 $7.24 Median $9.12 Typical High $9.12 | Professional | None | $7.24 | $9.12 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.75 | Facility | None | $5.50 | $5.50 | $5.75 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $44.67 | Professional | None | $4.68 | $4.68 | $44.67 |
Emblem Health Setting Professional Modifier None Typical Low $6.03 Median $13.49 Typical High $15.49 | Professional | None | $6.03 | $13.49 | $15.49 |
Geisinger Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
Geisinger Setting Professional Modifier None Typical Low $5.62 Median $6.46 Typical High $9.33 | Professional | None | $5.62 | $6.46 | $9.33 |
Highmark BCBS Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.76 | Professional | None | $6.31 | $6.31 | $6.76 |
Martin's Point Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Facility | None | $4.47 | $4.47 | $4.47 |
Martin's Point Setting Professional Modifier None Typical Low $4.47 Median $5.62 Typical High $5.62 | Professional | None | $4.47 | $5.62 | $5.62 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $2.24 Median $2.82 Typical High $2.82 | Professional | 52 · Reduced service | $2.24 | $2.82 | $2.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $1.12 Typical High $1.12 | Professional | 53 · Discontinued | $0.89 | $1.12 | $1.12 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.68 Median $0.83 Typical High $0.83 | Professional | 55 · Aftercare only | $0.68 | $0.83 | $0.83 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.45 Median $0.56 Typical High $0.56 | Professional | 56 · Pre-op care only | $0.45 | $0.56 | $0.56 |
Oscar Health Setting Professional Modifier None Typical Low $8.32 Median $12.88 Typical High $13.80 | Professional | None | $8.32 | $12.88 | $13.80 |
UPMC Health Plan Setting Facility Modifier None Typical Low $6.46 Median $29.51 Typical High $51.29 | Facility | None | $6.46 | $29.51 | $51.29 |
UPMC Health Plan Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $8.71 | Professional | None | $6.46 | $6.46 | $8.71 |
United Setting Professional Modifier None Typical Low $3.47 Median $4.57 Typical High $7.59 | Professional | None | $3.47 | $4.57 | $7.59 |
Where Pennsylvania sits
The same service costs 2.3 times more in Kansas than in Alabama. 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
$5.62
KS $10.72AL $4.68
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.