How much rates vary
Facilitymedian $18 · 10th to 90th $10 to $245Professionalmedian $26 · 10th to 90th $18 to $46
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 $18.20 Median $18.20 Typical High $22.39 | Facility | None | $18.20 | $18.20 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $22.39 Typical High $24.55 | Professional | None | $18.20 | $22.39 | $24.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $11.22 Typical High $12.30 | Professional | 52 · Reduced service | $9.12 | $11.22 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.47 Typical High $4.90 | Professional | 53 · Discontinued | $3.72 | $4.47 | $4.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.75 Median $3.39 Typical High $3.72 | Professional | 55 · Aftercare only | $2.75 | $3.39 | $3.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $2.24 Typical High $2.45 | Professional | 56 · Pre-op care only | $1.82 | $2.24 | $2.45 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $31.62 | Professional | None | $19.95 | $19.95 | $31.62 |
AmeriHealth Setting Facility Modifier None Typical Low $5.89 Median $14.45 Typical High $309.03 | Facility | None | $5.89 | $14.45 | $309.03 |
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 $25.70 Median $26.30 Typical High $46.77 | Professional | None | $25.70 | $26.30 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Emblem Health Setting Professional Modifier None Typical Low $35.48 Median $38.90 Typical High $44.67 | Professional | None | $35.48 | $38.90 | $44.67 |
Geisinger Setting Professional Modifier None Typical Low $18.62 Median $28.18 Typical High $52.48 | Professional | None | $18.62 | $28.18 | $52.48 |
Independence Blue Cross Setting Facility Modifier None Typical Low $6.76 Median $13.49 Typical High $33.11 | Facility | None | $6.76 | $13.49 | $33.11 |
Martin's Point Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Martin's Point Setting Professional Modifier None Typical Low $18.20 Median $22.39 Typical High $24.55 | Professional | None | $18.20 | $22.39 | $24.55 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $11.22 Typical High $12.30 | Professional | 52 · Reduced service | $9.12 | $11.22 | $12.30 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.47 Typical High $4.90 | Professional | 53 · Discontinued | $3.72 | $4.47 | $4.90 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2.75 Median $3.39 Typical High $3.63 | Professional | 55 · Aftercare only | $2.75 | $3.39 | $3.63 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $2.24 Typical High $2.45 | Professional | 56 · Pre-op care only | $1.82 | $2.24 | $2.45 |
Oscar Health Setting Professional Modifier None Typical Low $31.62 Median $38.02 Typical High $38.02 | Professional | None | $31.62 | $38.02 | $38.02 |
UPMC Health Plan Setting Facility Modifier None Typical Low $10.72 Median $43.65 Typical High $79.43 | Facility | None | $10.72 | $43.65 | $79.43 |
UPMC Health Plan Setting Professional Modifier None Typical Low $10.72 Median $15.49 Typical High $23.44 | Professional | None | $10.72 | $15.49 | $23.44 |
United Setting Professional Modifier None Typical Low $12.88 Median $22.39 Typical High $43.65 | Professional | None | $12.88 | $22.39 | $43.65 |
Where Pennsylvania sits
The same service costs 4.1 times more in Wyoming than in Kentucky. 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· 28th of 51
$25.70
WY $75.86KY $18.62
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.