How much rates vary
Facilitymedian $41 · 10th to 90th $29 to $117Professionalmedian $32 · 10th to 90th $30 to $32
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 $31.62 Median $46.77 Typical High $74.13 | Facility | None | $31.62 | $46.77 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $6.31 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | 55 · Aftercare only | $4.68 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | 56 · Pre-op care only | $3.16 | $3.16 | $3.16 |
Capital Blue Cross Setting Facility Modifier None Typical Low $26.92 Median $30.90 Typical High $36.31 | Facility | None | $26.92 | $30.90 | $36.31 |
Capital Blue Cross Setting Professional Modifier None Typical Low $27.54 Median $30.90 Typical High $30.90 | Professional | None | $27.54 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $52.48 Typical High $120.23 | Facility | None | $31.62 | $52.48 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Emblem Health Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $46.77 | Professional | None | $31.62 | $31.62 | $46.77 |
Geisinger Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Geisinger Setting Professional Modifier None Typical Low $13.18 Median $16.98 Typical High $25.12 | Professional | None | $13.18 | $16.98 | $25.12 |
Martin's Point Setting Facility Modifier None Typical Low $31.62 Median $46.77 Typical High $74.13 | Facility | None | $31.62 | $46.77 | $74.13 |
Martin's Point Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $15.85 | $15.85 | $15.85 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $6.31 | $6.31 | $6.31 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | 55 · Aftercare only | $4.68 | $4.68 | $4.68 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | 56 · Pre-op care only | $3.16 | $3.16 | $3.16 |
Oscar Health Setting Professional Modifier None Typical Low $30.20 Median $36.31 Typical High $37.15 | Professional | None | $30.20 | $36.31 | $37.15 |
UPMC Health Plan Setting Facility Modifier None Typical Low $32.36 Median $38.02 Typical High $46.77 | Facility | None | $32.36 | $38.02 | $46.77 |
UPMC Health Plan Setting Professional Modifier None Typical Low $32.36 Median $33.11 Typical High $38.02 | Professional | None | $32.36 | $33.11 | $38.02 |
United Setting Professional Modifier None Typical Low $28.18 Median $32.36 Typical High $34.67 | Professional | None | $28.18 | $32.36 | $34.67 |
Where Pennsylvania sits
Rates are fairly even across states for this service. 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· 36th of 51
$31.62
AK $45.71AZ $30.90
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.