How much rates vary
Facilitymedian $13 · 10th to 90th $9 to $35Professionalmedian $9 · 10th to 90th $9 to $11
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 $9.33 Median $14.13 Typical High $20.89 | Facility | None | $9.33 | $14.13 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | 52 · Reduced service | $4.68 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | 53 · Discontinued | $1.86 | $1.86 | $1.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | 55 · Aftercare only | $1.41 | $1.41 | $1.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.93 Median $0.93 Typical High $0.93 | Professional | 56 · Pre-op care only | $0.93 | $0.93 | $0.93 |
Capital Blue Cross Setting Facility Modifier None Typical Low $9.33 Median $10.72 Typical High $12.59 | Facility | None | $9.33 | $10.72 | $12.59 |
Capital Blue Cross Setting Professional Modifier None Typical Low $9.55 Median $10.72 Typical High $10.72 | Professional | None | $9.55 | $10.72 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $15.49 Typical High $35.48 | Facility | None | $9.33 | $15.49 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Emblem Health Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $17.38 | Professional | None | $10.47 | $10.47 | $17.38 |
Geisinger Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Facility | None | $3.02 | $3.02 | $3.02 |
Geisinger Setting Professional Modifier None Typical Low $4.07 Median $8.13 Typical High $15.14 | Professional | None | $4.07 | $8.13 | $15.14 |
Martin's Point Setting Facility Modifier None Typical Low $9.33 Median $14.13 Typical High $20.89 | Facility | None | $9.33 | $14.13 | $20.89 |
Martin's Point Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | 52 · Reduced service | $4.68 | $4.68 | $4.68 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | 53 · Discontinued | $1.86 | $1.86 | $1.86 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | 55 · Aftercare only | $1.41 | $1.41 | $1.41 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.93 Median $0.93 Typical High $0.93 | Professional | 56 · Pre-op care only | $0.93 | $0.93 | $0.93 |
Oscar Health Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $15.49 | Professional | None | $10.96 | $10.96 | $15.49 |
UPMC Health Plan Setting Facility Modifier None Typical Low $5.50 Median $14.13 Typical High $36.31 | Facility | None | $5.50 | $14.13 | $36.31 |
United Setting Professional Modifier None Typical Low $8.32 Median $9.12 Typical High $9.55 | Professional | None | $8.32 | $9.12 | $9.55 |
Where Pennsylvania sits
The same service costs 1.8 times more in Alaska than in Montana. 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· 21st of 51
$9.33
AK $13.80MT $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.