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 $2.29 Median $2.29 Typical High $2.82 | Facility | None | $2.29 | $2.29 | $2.82 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $2.82 Typical High $2.82 | Professional | None | $2.29 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.34 Median $0.43 Typical High $0.43 | Professional | 55 · Aftercare only | $0.34 | $0.43 | $0.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.23 Median $0.28 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.23 | $0.28 | $0.28 |
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 $3.72 Median $4.68 Typical High $4.68 | Professional | None | $3.72 | $4.68 | $4.68 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Facility | None | $2.57 | $2.57 | $2.57 |
Cigna Setting Professional Modifier None Typical Low $1.91 Median $2.19 Typical High $2.57 | Professional | None | $1.91 | $2.19 | $2.57 |
Emblem Health Setting Professional Modifier None Typical Low $4.37 Median $6.76 Typical High $7.94 | Professional | None | $4.37 | $6.76 | $7.94 |
Geisinger Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Facility | None | $4.68 | $4.68 | $4.68 |
Geisinger Setting Professional Modifier None Typical Low $2.29 Median $2.82 Typical High $4.68 | Professional | None | $2.29 | $2.82 | $4.68 |
Highmark BCBS Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | None | $3.24 | $3.24 | $3.24 |
Martin's Point Setting Facility Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Facility | None | $2.29 | $2.29 | $2.29 |
Martin's Point Setting Professional Modifier None Typical Low $2.29 Median $2.82 Typical High $2.82 | Professional | None | $2.29 | $2.82 | $2.82 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.34 Median $0.43 Typical High $0.43 | Professional | 55 · Aftercare only | $0.34 | $0.43 | $0.43 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.23 Median $0.28 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.23 | $0.28 | $0.28 |
Oscar Health Setting Professional Modifier None Typical Low $3.09 Median $6.61 Typical High $7.08 | Professional | None | $3.09 | $6.61 | $7.08 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.31 Median $15.14 Typical High $25.70 | Facility | None | $3.31 | $15.14 | $25.70 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $4.37 | Professional | None | $3.31 | $3.31 | $4.37 |
United Setting Professional Modifier None Typical Low $1.78 Median $2.29 Typical High $3.89 | Professional | None | $1.78 | $2.29 | $3.89 |
Where Pennsylvania sits
The same service costs 2.5 times more in Hawaii than in Vermont. 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
$2.82
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.