How much rates vary
Facilitymedian $11 · 10th to 90th $10 to $112Professionalmedian $10 · 10th to 90th $8 to $17
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 $8.13 Median $8.13 Typical High $10.23 | Facility | None | $8.13 | $8.13 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $10.23 Typical High $10.23 | Professional | None | $8.13 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.23 Median $1.51 Typical High $1.51 | Professional | 55 · Aftercare only | $1.23 | $1.51 | $1.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.81 Median $1.02 Typical High $1.02 | Professional | 56 · Pre-op care only | $0.81 | $1.02 | $1.02 |
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 $13.18 Median $16.60 Typical High $16.60 | Professional | None | $13.18 | $16.60 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $75.86 | Professional | None | $8.51 | $8.51 | $75.86 |
Emblem Health Setting Professional Modifier None Typical Low $13.18 Median $20.89 Typical High $23.99 | Professional | None | $13.18 | $20.89 | $23.99 |
Geisinger Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Geisinger Setting Professional Modifier None Typical Low $8.32 Median $10.23 Typical High $16.98 | Professional | None | $8.32 | $10.23 | $16.98 |
Martin's Point Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Martin's Point Setting Professional Modifier None Typical Low $8.13 Median $10.23 Typical High $10.23 | Professional | None | $8.13 | $10.23 | $10.23 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.23 Median $1.51 Typical High $1.51 | Professional | 55 · Aftercare only | $1.23 | $1.51 | $1.51 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.81 Median $1.02 Typical High $1.02 | Professional | 56 · Pre-op care only | $0.81 | $1.02 | $1.02 |
Oscar Health Setting Professional Modifier None Typical Low $11.22 Median $23.44 Typical High $25.12 | Professional | None | $11.22 | $23.44 | $25.12 |
UPMC Health Plan Setting Facility Modifier None Typical Low $11.75 Median $53.70 Typical High $93.33 | Facility | None | $11.75 | $53.70 | $93.33 |
UPMC Health Plan Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $15.85 | Professional | None | $11.75 | $11.75 | $15.85 |
United Setting Professional Modifier None Typical Low $6.31 Median $8.32 Typical High $13.80 | Professional | None | $6.31 | $8.32 | $13.80 |
Where Pennsylvania sits
The same service costs 2.3 times more in Montana than in Connecticut. 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· 24th of 51
$10.23
MT $17.38CT $7.59
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.