How much rates vary
Facilitymedian $4 · 10th to 90th $3 to $11Professionalmedian $3 · 10th to 90th $3 to $10
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 $3.09 Median $4.79 Typical High $19.95 | Facility | None | $3.09 | $4.79 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.31 | Professional | None | $3.09 | $3.09 | $3.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.46 Median $0.46 Typical High $0.49 | Professional | 55 · Aftercare only | $0.46 | $0.46 | $0.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.31 Median $0.31 Typical High $0.33 | Professional | 56 · Pre-op care only | $0.31 | $0.31 | $0.33 |
AmeriHealth Setting Facility Modifier None Typical Low $3.31 Median $3.31 Typical High $3.80 | Facility | None | $3.31 | $3.31 | $3.80 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2.88 Median $3.31 Typical High $3.98 | Facility | None | $2.88 | $3.31 | $3.98 |
Capital Blue Cross Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | None | $3.16 | $3.16 | $3.16 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $5.13 Typical High $11.75 | Facility | None | $3.09 | $5.13 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.89 | Professional | None | $3.09 | $3.09 | $3.89 |
Emblem Health Setting Professional Modifier None Typical Low $1.20 Median $2.63 Typical High $3.31 | Professional | None | $1.20 | $2.63 | $3.31 |
Geisinger Setting Facility Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Facility | None | $3.09 | $3.09 | $3.09 |
Geisinger Setting Professional Modifier None Typical Low $2.45 Median $3.09 Typical High $5.50 | Professional | None | $2.45 | $3.09 | $5.50 |
Independence Blue Cross Setting Facility Modifier None Typical Low $3.39 Median $3.39 Typical High $3.89 | Facility | None | $3.39 | $3.39 | $3.89 |
Martin's Point Setting Facility Modifier None Typical Low $3.09 Median $8.51 Typical High $19.95 | Facility | None | $3.09 | $8.51 | $19.95 |
Martin's Point Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.24 | Professional | None | $3.09 | $3.09 | $3.24 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.46 Median $0.46 Typical High $0.48 | Professional | 55 · Aftercare only | $0.46 | $0.46 | $0.48 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.31 Median $0.31 Typical High $0.32 | Professional | 56 · Pre-op care only | $0.31 | $0.31 | $0.32 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $9.77 | Facility | None | $3.55 | $3.55 | $9.77 |
UPMC Health Plan Setting Professional Modifier None Typical Low $8.51 Median $8.71 Typical High $9.77 | Professional | None | $8.51 | $8.71 | $9.77 |
United Setting Professional Modifier None Typical Low $1.26 Median $3.16 Typical High $3.80 | Professional | None | $1.26 | $3.16 | $3.80 |
Where Pennsylvania sits
The same service costs 3.5 times more in Oklahoma than in Virginia. 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· 27th of 51
$3.16
OK $10.72VA $3.09
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.