How much rates vary
Facilitymedian $44 · 10th to 90th $29 to $123Professionalmedian $32 · 10th to 90th $28 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 $28.84 Median $50.12 Typical High $75.86 | Facility | None | $28.84 | $50.12 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $14.13 Typical High $14.45 | Professional | 52 · Reduced service | $14.13 | $14.13 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $5.75 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $4.27 Typical High $4.37 | Professional | 55 · Aftercare only | $4.27 | $4.27 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $2.82 Typical High $2.88 | Professional | 56 · Pre-op care only | $2.82 | $2.82 | $2.88 |
Capital Blue Cross Setting Facility Modifier None Typical Low $27.54 Median $31.62 Typical High $37.15 | Facility | None | $27.54 | $31.62 | $37.15 |
Capital Blue Cross Setting Professional Modifier None Typical Low $28.18 Median $31.62 Typical High $31.62 | Professional | None | $28.18 | $31.62 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $53.70 Typical High $123.03 | Facility | None | $32.36 | $53.70 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Emblem Health Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $41.69 | Professional | None | $28.84 | $28.84 | $41.69 |
Geisinger Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $42.66 | Professional | None | $41.69 | $41.69 | $42.66 |
Martin's Point Setting Facility Modifier None Typical Low $28.84 Median $67.61 Typical High $75.86 | Facility | None | $28.84 | $67.61 | $75.86 |
Martin's Point Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $14.13 Typical High $14.45 | Professional | 52 · Reduced service | $14.13 | $14.13 | $14.45 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $5.75 | $5.75 | $5.75 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $4.27 Typical High $4.37 | Professional | 55 · Aftercare only | $4.27 | $4.27 | $4.37 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $2.82 Typical High $2.88 | Professional | 56 · Pre-op care only | $2.82 | $2.82 | $2.88 |
Oscar Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
United Setting Professional Modifier None Typical Low $26.92 Median $30.20 Typical High $32.36 | Professional | None | $26.92 | $30.20 | $32.36 |
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· 25th of 51
$31.62
AK $42.66MD $28.84
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.