How much rates vary
Facilitymedian $45 · 10th to 90th $38 to $138Professionalmedian $39 · 10th to 90th $38 to $42
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 $38.02 Median $69.18 Typical High $104.71 | Facility | None | $38.02 | $69.18 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.90 | Professional | None | $38.02 | $38.02 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $7.76 | Professional | 53 · Discontinued | $7.59 | $7.59 | $7.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 55 · Aftercare only | $5.75 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $3.80 Typical High $3.89 | Professional | 56 · Pre-op care only | $3.80 | $3.80 | $3.89 |
Capital Blue Cross Setting Facility Modifier None Typical Low $36.31 Median $41.69 Typical High $48.98 | Facility | None | $36.31 | $41.69 | $48.98 |
Capital Blue Cross Setting Professional Modifier None Typical Low $35.48 Median $39.81 Typical High $39.81 | Professional | None | $35.48 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $63.10 Typical High $144.54 | Facility | None | $38.02 | $63.10 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Emblem Health Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $61.66 | Professional | None | $39.81 | $41.69 | $61.66 |
Geisinger Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Geisinger Setting Professional Modifier None Typical Low $38.02 Median $58.88 Typical High $302.00 | Professional | None | $38.02 | $58.88 | $302.00 |
Martin's Point Setting Facility Modifier None Typical Low $38.02 Median $70.79 Typical High $104.71 | Facility | None | $38.02 | $70.79 | $104.71 |
Martin's Point Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.90 | Professional | None | $38.02 | $38.02 | $38.90 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $19.05 | $19.05 | $19.05 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $7.76 | Professional | 53 · Discontinued | $7.59 | $7.59 | $7.76 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 55 · Aftercare only | $5.75 | $5.75 | $5.75 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $3.80 Typical High $3.89 | Professional | 56 · Pre-op care only | $3.80 | $3.80 | $3.89 |
Oscar Health Setting Professional Modifier None Typical Low $50.12 Median $302.00 Typical High $302.00 | Professional | None | $50.12 | $302.00 | $302.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $40.74 Median $44.67 Typical High $51.29 | Facility | None | $40.74 | $44.67 | $51.29 |
UPMC Health Plan Setting Professional Modifier None Typical Low $40.74 Median $41.69 Typical High $46.77 | Professional | None | $40.74 | $41.69 | $46.77 |
United Setting Professional Modifier None Typical Low $38.02 Median $41.69 Typical High $50.12 | Professional | None | $38.02 | $41.69 | $50.12 |
Where Pennsylvania sits
The same service costs 1.6 times more in Alaska than in South Carolina. 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· 34th of 51
$38.90
AK $60.26SC $38.02
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.