How much rates vary
Facilitymedian $7 · 10th to 90th $5 to $21Professionalmedian $5 · 10th to 90th $5 to $6
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 $5.75 Median $9.77 Typical High $15.14 | Facility | None | $5.75 | $9.77 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | 52 · Reduced service | $2.88 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.15 Typical High $1.15 | Professional | 53 · Discontinued | $1.15 | $1.15 | $1.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.85 Median $0.85 Typical High $0.87 | Professional | 55 · Aftercare only | $0.85 | $0.85 | $0.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.56 Median $0.56 Typical High $0.58 | Professional | 56 · Pre-op care only | $0.56 | $0.56 | $0.58 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4.68 Median $5.37 Typical High $6.46 | Facility | None | $4.68 | $5.37 | $6.46 |
Capital Blue Cross Setting Professional Modifier None Typical Low $4.90 Median $5.37 Typical High $5.37 | Professional | None | $4.90 | $5.37 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $9.12 Typical High $20.89 | Facility | None | $5.50 | $9.12 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
Emblem Health Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $8.32 | Professional | None | $5.50 | $5.50 | $8.32 |
Geisinger Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | None | $5.37 | $5.37 | $5.37 |
Geisinger Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $8.13 | Professional | None | $5.25 | $5.25 | $8.13 |
Martin's Point Setting Facility Modifier None Typical Low $5.75 Median $11.48 Typical High $15.14 | Facility | None | $5.75 | $11.48 | $15.14 |
Martin's Point Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | 52 · Reduced service | $2.88 | $2.88 | $2.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.15 Typical High $1.15 | Professional | 53 · Discontinued | $1.15 | $1.15 | $1.15 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.85 Median $0.85 Typical High $0.87 | Professional | 55 · Aftercare only | $0.85 | $0.85 | $0.87 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.56 Median $0.56 Typical High $0.58 | Professional | 56 · Pre-op care only | $0.56 | $0.56 | $0.58 |
Oscar Health Setting Professional Modifier None Typical Low $0.60 Median $12.88 Typical High $30.20 | Professional | None | $0.60 | $12.88 | $30.20 |
UPMC Health Plan Setting Facility Modifier None Typical Low $5.75 Median $6.61 Typical High $6.61 | Facility | None | $5.75 | $6.61 | $6.61 |
UPMC Health Plan Setting Professional Modifier None Typical Low $5.75 Median $5.89 Typical High $6.61 | Professional | None | $5.75 | $5.89 | $6.61 |
United Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Facility | None | $5.75 | $5.75 | $5.75 |
United Setting Professional Modifier None Typical Low $5.50 Median $6.03 Typical High $6.46 | Professional | None | $5.50 | $6.03 | $6.46 |
Where Pennsylvania sits
The same service costs 1.5 times more in Alaska than in Pennsylvania. 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· 51st of 51
$5.50
AK $8.51PA $5.50
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.