How much rates vary
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 $0.98 Median $0.98 Typical High $1.20 | Facility | None | $0.98 | $0.98 | $1.20 |
Aetna Setting Professional Modifier None Typical Low $0.98 Median $1.20 Typical High $1.20 | Professional | None | $0.98 | $1.20 | $1.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.15 Median $0.18 Typical High $0.18 | Professional | 55 · Aftercare only | $0.15 | $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 |
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 $1.58 Median $2.00 Typical High $2.00 | Professional | None | $1.58 | $2.00 | $2.00 |
Cigna Setting Facility Modifier None Typical Low $1.20 Median $1.20 Typical High $1.29 | Facility | None | $1.20 | $1.20 | $1.29 |
Cigna Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $9.77 | Professional | None | $1.02 | $1.02 | $9.77 |
Emblem Health Setting Professional Modifier None Typical Low $1.82 Median $2.95 Typical High $3.39 | Professional | None | $1.82 | $2.95 | $3.39 |
Geisinger Setting Facility Modifier None Typical Low $2.04 Median $2.04 Typical High $2.04 | Facility | None | $2.04 | $2.04 | $2.04 |
Geisinger Setting Professional Modifier None Typical Low $1.00 Median $1.20 Typical High $2.04 | Professional | None | $1.00 | $1.20 | $2.04 |
Martin's Point Setting Facility Modifier None Typical Low $0.98 Median $0.98 Typical High $0.98 | Facility | None | $0.98 | $0.98 | $0.98 |
Martin's Point Setting Professional Modifier None Typical Low $0.98 Median $1.20 Typical High $1.20 | Professional | None | $0.98 | $1.20 | $1.20 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.15 Median $0.18 Typical High $0.18 | Professional | 55 · Aftercare only | $0.15 | $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 $6.46 Typical High $10.96 | Facility | None | $1.41 | $6.46 | $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 $0.78 Median $1.00 Typical High $1.66 | Professional | None | $0.78 | $1.00 | $1.66 |
Where Pennsylvania sits
The same service costs 2.1 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
$1.20
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.