How much rates vary
Facilitymedian $13 · 10th to 90th $11 to $43Professionalmedian $12 · 10th to 90th $11 to $15
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 $11.48 Median $30.90 Typical High $41.69 | Facility | None | $11.48 | $30.90 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.75 | Professional | None | $11.48 | $11.48 | $11.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $5.75 Typical High $5.89 | Professional | 52 · Reduced service | $5.75 | $5.75 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.34 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.74 Median $1.74 Typical High $1.78 | Professional | 55 · Aftercare only | $1.74 | $1.74 | $1.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.15 Median $1.15 Typical High $1.17 | Professional | 56 · Pre-op care only | $1.15 | $1.15 | $1.17 |
Capital Blue Cross Setting Facility Modifier None Typical Low $10.96 Median $12.59 Typical High $14.79 | Facility | None | $10.96 | $12.59 | $14.79 |
Capital Blue Cross Setting Professional Modifier None Typical Low $10.96 Median $12.02 Typical High $12.02 | Professional | None | $10.96 | $12.02 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $19.50 Typical High $44.67 | Facility | None | $11.48 | $19.50 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Emblem Health Setting Professional Modifier None Typical Low $12.02 Median $12.59 Typical High $28.18 | Professional | None | $12.02 | $12.59 | $28.18 |
Geisinger Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Geisinger Setting Professional Modifier None Typical Low $12.02 Median $19.95 Typical High $29.51 | Professional | None | $12.02 | $19.95 | $29.51 |
Martin's Point Setting Facility Modifier None Typical Low $11.48 Median $36.31 Typical High $41.69 | Facility | None | $11.48 | $36.31 | $41.69 |
Martin's Point Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.75 | Professional | None | $11.48 | $11.48 | $11.75 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $5.75 Typical High $5.89 | Professional | 52 · Reduced service | $5.75 | $5.75 | $5.89 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.34 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.34 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.74 Median $1.74 Typical High $1.78 | Professional | 55 · Aftercare only | $1.74 | $1.74 | $1.78 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.15 Median $1.15 Typical High $1.17 | Professional | 56 · Pre-op care only | $1.15 | $1.15 | $1.17 |
Oscar Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $51.29 | Professional | None | $30.20 | $30.20 | $51.29 |
UPMC Health Plan Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $21.38 | Facility | None | $13.49 | $13.49 | $21.38 |
UPMC Health Plan Setting Professional Modifier None Typical Low $18.20 Median $18.62 Typical High $21.38 | Professional | None | $18.20 | $18.62 | $21.38 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
United Setting Professional Modifier None Typical Low $13.18 Median $14.79 Typical High $16.98 | Professional | None | $13.18 | $14.79 | $16.98 |
Where Pennsylvania sits
The same service costs 1.8 times more in Alaska 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· 35th of 51
$12.02
AK $20.89KY $11.48
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.