How much rates vary
Facilitymedian $42 · 10th to 90th $33 to $324Professionalmedian $28 · 10th to 90th $24 to $55
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 $23.99 Median $23.99 Typical High $26.30 | Facility | None | $23.99 | $23.99 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $26.30 Typical High $28.18 | Professional | None | $23.99 | $26.30 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $13.18 Typical High $14.13 | Professional | 52 · Reduced service | $12.02 | $13.18 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.37 Typical High $5.62 | Professional | 53 · Discontinued | $4.79 | $5.37 | $5.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $3.98 Typical High $4.17 | Professional | 55 · Aftercare only | $3.63 | $3.98 | $4.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $2.63 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.40 | $2.63 | $2.82 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $47.86 | Professional | None | $44.67 | $44.67 | $47.86 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $52.48 Median $58.88 Typical High $58.88 | Professional | 50 · Both sides | $52.48 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $295.12 | Professional | None | $24.55 | $24.55 | $295.12 |
Emblem Health Setting Professional Modifier None Typical Low $54.95 Median $87.10 Typical High $100.00 | Professional | None | $54.95 | $87.10 | $100.00 |
Geisinger Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Geisinger Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $58.88 | Professional | None | $35.48 | $41.69 | $58.88 |
Martin's Point Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Martin's Point Setting Professional Modifier None Typical Low $23.99 Median $26.30 Typical High $28.18 | Professional | None | $23.99 | $26.30 | $28.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $13.18 Typical High $14.13 | Professional | 52 · Reduced service | $12.02 | $13.18 | $14.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.37 Typical High $5.62 | Professional | 53 · Discontinued | $4.79 | $5.37 | $5.62 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $3.98 Typical High $4.17 | Professional | 55 · Aftercare only | $3.63 | $3.98 | $4.17 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $2.63 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.40 | $2.63 | $2.82 |
Oscar Health Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $89.13 | Professional | None | $58.88 | $83.18 | $89.13 |
UPMC Health Plan Setting Facility Modifier None Typical Low $41.69 Median $190.55 Typical High $323.59 | Facility | None | $41.69 | $190.55 | $323.59 |
UPMC Health Plan Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $54.95 | Professional | None | $41.69 | $41.69 | $54.95 |
United Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $87.10 | Facility | None | $72.44 | $72.44 | $87.10 |
United Setting Professional Modifier None Typical Low $22.91 Median $28.84 Typical High $44.67 | Professional | None | $22.91 | $28.84 | $44.67 |
Where Pennsylvania sits
The same service costs 2.6 times more in Montana than in Delaware. 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· 47th of 51
$28.84
MT $63.10DE $24.55
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.