How much rates vary
Facilitymedian $6 · 10th to 90th $1 to $5,012Professionalmedian $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 $0.95 Median $0.95 Typical High $1.20 | Facility | None | $0.95 | $0.95 | $1.20 |
Aetna Setting Professional Modifier None Typical Low $0.95 Median $1.20 Typical High $1.20 | Professional | None | $0.95 | $1.20 | $1.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.14 Median $0.18 Typical High $0.18 | Professional | 55 · Aftercare only | $0.14 | $0.18 | $0.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.12 Typical High $0.12 | Professional | 56 · Pre-op care only | $0.10 | $0.12 | $0.12 |
Ambetter Setting Professional Modifier None Typical Low $1.17 Median $1.51 Typical High $1.51 | Professional | None | $1.17 | $1.51 | $1.51 |
AmeriHealth Setting Professional Modifier None Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | None | $1.26 | $1.26 | $1.26 |
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 $1.95 Typical High $1.95 | Professional | None | $1.78 | $1.95 | $1.95 |
Cigna Setting Facility Modifier None Typical Low $1.20 Median $1.20 Typical High $1.20 | Facility | None | $1.20 | $1.20 | $1.20 |
Cigna Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | None | $1.02 | $1.02 | $1.02 |
Emblem Health Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $3.16 | Professional | None | $2.51 | $2.51 | $3.16 |
Geisinger Setting Facility Modifier None Typical Low $2.00 Median $2.00 Typical High $2.00 | Facility | None | $2.00 | $2.00 | $2.00 |
Geisinger Setting Professional Modifier None Typical Low $0.98 Median $1.05 Typical High $2.00 | Professional | None | $0.98 | $1.05 | $2.00 |
Martin's Point Setting Facility Modifier None Typical Low $0.95 Median $0.95 Typical High $0.95 | Facility | None | $0.95 | $0.95 | $0.95 |
Martin's Point Setting Professional Modifier None Typical Low $0.95 Median $1.20 Typical High $1.20 | Professional | None | $0.95 | $1.20 | $1.20 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.14 Median $0.18 Typical High $0.18 | Professional | 55 · Aftercare only | $0.14 | $0.18 | $0.18 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.12 Typical High $0.12 | Professional | 56 · Pre-op care only | $0.10 | $0.12 | $0.12 |
Oscar Health Setting Professional Modifier None Typical Low $1.29 Median $2.82 Typical High $3.02 | Professional | None | $1.29 | $2.82 | $3.02 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1.41 Median $6.31 Typical High $10.96 | Facility | None | $1.41 | $6.31 | $10.96 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1.41 Median $1.41 Typical High $1.86 | Professional | None | $1.41 | $1.41 | $1.86 |
United Setting Professional Modifier None Typical Low $0.85 Median $0.98 Typical High $1.41 | Professional | None | $0.85 | $0.98 | $1.41 |
Where Pennsylvania sits
The same service costs 3.1 times more in Hawaii than in Utah. 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· 23rd of 51
$1.20
HI $2.63UT $0.85
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.