How much rates vary
Facilitymedian $54 · 10th to 90th $44 to $417Professionalmedian $46 · 10th to 90th $33 to $74
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 $33.11 Median $33.11 Typical High $35.48 | Facility | None | $33.11 | $33.11 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $36.31 | Professional | None | $32.36 | $33.88 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $5.13 Typical High $5.50 | Professional | 55 · Aftercare only | $4.90 | $5.13 | $5.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.47 Typical High $3.63 | Professional | 56 · Pre-op care only | $3.24 | $3.47 | $3.63 |
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 $58.88 Median $74.13 Typical High $74.13 | Professional | None | $58.88 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $371.54 | Professional | None | $37.15 | $37.15 | $371.54 |
Emblem Health Setting Professional Modifier None Typical Low $69.18 Median $109.65 Typical High $128.82 | Professional | None | $69.18 | $109.65 | $128.82 |
Geisinger Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Geisinger Setting Professional Modifier None Typical Low $45.71 Median $53.70 Typical High $75.86 | Professional | None | $45.71 | $53.70 | $75.86 |
Martin's Point Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Martin's Point Setting Professional Modifier None Typical Low $33.11 Median $35.48 Typical High $36.31 | Professional | None | $33.11 | $35.48 | $36.31 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $5.25 Typical High $5.50 | Professional | 55 · Aftercare only | $4.90 | $5.25 | $5.50 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $3.55 Typical High $3.63 | Professional | 56 · Pre-op care only | $3.31 | $3.55 | $3.63 |
Oscar Health Setting Professional Modifier None Typical Low $67.61 Median $107.15 Typical High $112.20 | Professional | None | $67.61 | $107.15 | $112.20 |
UPMC Health Plan Setting Facility Modifier None Typical Low $53.70 Median $239.88 Typical High $416.87 | Facility | None | $53.70 | $239.88 | $416.87 |
UPMC Health Plan Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $70.79 | Professional | None | $53.70 | $53.70 | $70.79 |
United Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $112.20 | Facility | None | $93.33 | $93.33 | $112.20 |
United Setting Professional Modifier None Typical Low $33.88 Median $37.15 Typical High $57.54 | Professional | None | $33.88 | $37.15 | $57.54 |
Where Pennsylvania sits
The same service costs 2.2 times more in Montana than in West Virginia. 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· 24th of 51
$45.71
MT $81.28WV $37.15
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.