How much rates vary
Facilitymedian $35 · 10th to 90th $9 to $115Professionalmedian $30 · 10th to 90th $27 to $31
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 $30.90 Median $45.71 Typical High $63.10 | Facility | None | $30.90 | $45.71 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 53 · Discontinued | $6.17 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | 55 · Aftercare only | $4.57 | $4.57 | $4.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | 56 · Pre-op care only | $3.09 | $3.09 | $3.09 |
Capital Blue Cross Setting Facility Modifier None Typical Low $26.30 Median $30.20 Typical High $35.48 | Facility | None | $26.30 | $30.20 | $35.48 |
Capital Blue Cross Setting Professional Modifier None Typical Low $26.92 Median $30.20 Typical High $30.20 | Professional | None | $26.92 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $51.29 Typical High $117.49 | Facility | None | $30.90 | $51.29 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Emblem Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $36.31 | Professional | None | $30.90 | $30.90 | $36.31 |
Geisinger Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
Geisinger Setting Professional Modifier None Typical Low $7.41 Median $8.51 Typical High $12.02 | Professional | None | $7.41 | $8.51 | $12.02 |
Martin's Point Setting Facility Modifier None Typical Low $30.90 Median $45.71 Typical High $63.10 | Facility | None | $30.90 | $45.71 | $63.10 |
Martin's Point Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $15.49 | $15.49 | $15.49 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 53 · Discontinued | $6.17 | $6.17 | $6.17 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | 55 · Aftercare only | $4.57 | $4.57 | $4.57 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | 56 · Pre-op care only | $3.09 | $3.09 | $3.09 |
Oscar Health Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
UPMC Health Plan Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $18.62 | Facility | None | $7.24 | $7.24 | $18.62 |
UPMC Health Plan Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
United Setting Professional Modifier None Typical Low $27.54 Median $31.62 Typical High $33.88 | Professional | None | $27.54 | $31.62 | $33.88 |
Where Pennsylvania sits
The same service costs 4.7 times more in Alaska than in Hawaii. 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· 43rd of 51
$30.20
AK $44.67HI $9.55
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.