How much rates vary
Facilitymedian $4 · 10th to 90th $4 to $35Professionalmedian $3 · 10th to 90th $3 to $5
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 $2.57 Median $2.57 Typical High $3.24 | Facility | None | $2.57 | $2.57 | $3.24 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $3.24 Typical High $3.24 | Professional | None | $2.57 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.29 Median $1.62 Typical High $1.62 | Professional | 52 · Reduced service | $1.29 | $1.62 | $1.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.65 Typical High $0.65 | Professional | 53 · Discontinued | $0.52 | $0.65 | $0.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.39 Median $0.48 Typical High $0.48 | Professional | 55 · Aftercare only | $0.39 | $0.48 | $0.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.26 Median $0.32 Typical High $0.32 | Professional | 56 · Pre-op care only | $0.26 | $0.32 | $0.32 |
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 $4.17 Median $5.25 Typical High $5.25 | Professional | None | $4.17 | $5.25 | $5.25 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Facility | None | $3.55 | $3.55 | $3.55 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $25.70 | Professional | None | $2.95 | $2.95 | $25.70 |
Emblem Health Setting Professional Modifier None Typical Low $3.39 Median $7.76 Typical High $8.91 | Professional | None | $3.39 | $7.76 | $8.91 |
Geisinger Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | None | $5.37 | $5.37 | $5.37 |
Geisinger Setting Professional Modifier None Typical Low $3.24 Median $3.72 Typical High $5.37 | Professional | None | $3.24 | $3.72 | $5.37 |
Martin's Point Setting Facility Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Facility | None | $2.57 | $2.57 | $2.57 |
Martin's Point Setting Professional Modifier None Typical Low $2.57 Median $3.24 Typical High $3.24 | Professional | None | $2.57 | $3.24 | $3.24 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.29 Median $1.62 Typical High $1.62 | Professional | 52 · Reduced service | $1.29 | $1.62 | $1.62 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.65 Typical High $0.65 | Professional | 53 · Discontinued | $0.52 | $0.65 | $0.65 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.39 Median $0.48 Typical High $0.48 | Professional | 55 · Aftercare only | $0.39 | $0.48 | $0.48 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.26 Median $0.32 Typical High $0.32 | Professional | 56 · Pre-op care only | $0.26 | $0.32 | $0.32 |
Oscar Health Setting Professional Modifier None Typical Low $4.79 Median $7.59 Typical High $7.94 | Professional | None | $4.79 | $7.59 | $7.94 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.80 Median $16.98 Typical High $29.51 | Facility | None | $3.80 | $16.98 | $29.51 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $5.01 | Professional | None | $3.80 | $3.80 | $5.01 |
United Setting Professional Modifier None Typical Low $2.04 Median $2.63 Typical High $4.37 | Professional | None | $2.04 | $2.63 | $4.37 |
Where Pennsylvania sits
The same service costs 2.6 times more in Kansas than in New Hampshire. 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
$3.55
KS $6.76NH $2.63
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.