How much rates vary
Facilitymedian $44 · 10th to 90th $32 to $112Professionalmedian $37 · 10th to 90th $30 to $44
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 $43.65 Median $64.57 Typical High $89.13 | Facility | None | $43.65 | $64.57 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.71 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 55 · Aftercare only | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 56 · Pre-op care only | $4.37 | $4.37 | $4.37 |
Capital Blue Cross Setting Facility Modifier None Typical Low $33.11 Median $37.15 Typical High $44.67 | Facility | None | $33.11 | $37.15 | $44.67 |
Capital Blue Cross Setting Professional Modifier None Typical Low $33.88 Median $37.15 Typical High $37.15 | Professional | None | $33.88 | $37.15 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $50.12 Typical High $114.82 | Facility | None | $30.20 | $50.12 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Emblem Health Setting Professional Modifier None Typical Low $45.71 Median $51.29 Typical High $51.29 | Professional | None | $45.71 | $51.29 | $51.29 |
Geisinger Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Geisinger Setting Professional Modifier None Typical Low $33.11 Median $41.69 Typical High $58.88 | Professional | None | $33.11 | $41.69 | $58.88 |
Martin's Point Setting Facility Modifier None Typical Low $43.65 Median $64.57 Typical High $89.13 | Facility | None | $43.65 | $64.57 | $89.13 |
Martin's Point Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $21.88 | $21.88 | $21.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.71 | $8.71 | $8.71 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 55 · Aftercare only | $6.46 | $6.46 | $6.46 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 56 · Pre-op care only | $4.37 | $4.37 | $4.37 |
Oscar Health Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
UPMC Health Plan Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $83.18 | Facility | None | $32.36 | $32.36 | $83.18 |
UPMC Health Plan Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $37.15 Median $42.66 Typical High $44.67 | Professional | None | $37.15 | $42.66 | $44.67 |
Where Pennsylvania sits
The same service costs 2.0 times more in Alaska than in New Mexico. 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· 48th of 51
$37.15
AK $60.26NM $30.20
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.