How much rates vary
Facilitymedian $27 · 10th to 90th $22 to $85Professionalmedian $22 · 10th to 90th $21 to $23
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 $22.39 Median $33.88 Typical High $52.48 | Facility | None | $22.39 | $33.88 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | 53 · Discontinued | $4.47 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | 55 · Aftercare only | $3.39 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | 56 · Pre-op care only | $2.24 | $2.24 | $2.24 |
Capital Blue Cross Setting Facility Modifier None Typical Low $19.05 Median $21.88 Typical High $26.30 | Facility | None | $19.05 | $21.88 | $26.30 |
Capital Blue Cross Setting Professional Modifier None Typical Low $19.95 Median $21.88 Typical High $21.88 | Professional | None | $19.95 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $38.02 Typical High $85.11 | Facility | None | $22.39 | $38.02 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Emblem Health Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $33.88 | Professional | None | $22.39 | $22.39 | $33.88 |
Geisinger Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $75.86 | Professional | None | $28.18 | $28.18 | $75.86 |
Martin's Point Setting Facility Modifier None Typical Low $22.39 Median $33.88 Typical High $52.48 | Facility | None | $22.39 | $33.88 | $52.48 |
Martin's Point Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $11.22 | $11.22 | $11.22 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | 53 · Discontinued | $4.47 | $4.47 | $4.47 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | 55 · Aftercare only | $3.39 | $3.39 | $3.39 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | 56 · Pre-op care only | $2.24 | $2.24 | $2.24 |
Oscar Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $52.48 | Professional | None | $30.20 | $30.20 | $52.48 |
UPMC Health Plan Setting Facility Modifier None Typical Low $23.44 Median $26.92 Typical High $26.92 | Facility | None | $23.44 | $26.92 | $26.92 |
UPMC Health Plan Setting Professional Modifier None Typical Low $23.44 Median $23.99 Typical High $26.92 | Professional | None | $23.44 | $23.99 | $26.92 |
United Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
United Setting Professional Modifier None Typical Low $20.89 Median $23.44 Typical High $24.55 | Professional | None | $20.89 | $23.44 | $24.55 |
Where Pennsylvania sits
The same service costs 1.5 times more in Alaska than in Arizona. 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· 50th of 51
$22.39
AK $33.11AZ $21.88
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.