How much rates vary
Facilitymedian $2 · 10th to 90th $2 to $7Professionalmedian $2 · 10th to 90th $2 to $2
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 $1.86 Median $2.51 Typical High $3.55 | Facility | None | $1.86 | $2.51 | $3.55 |
Aetna Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $1.91 | Professional | None | $1.86 | $1.86 | $1.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.93 Median $0.93 Typical High $0.95 | Professional | 52 · Reduced service | $0.93 | $0.93 | $0.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.37 Median $0.37 Typical High $0.38 | Professional | 53 · Discontinued | $0.37 | $0.37 | $0.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | 55 · Aftercare only | $0.28 | $0.28 | $0.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.19 Median $0.19 Typical High $0.19 | Professional | 56 · Pre-op care only | $0.19 | $0.19 | $0.19 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1.78 Median $2.04 Typical High $2.40 | Facility | None | $1.78 | $2.04 | $2.40 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1.74 Median $1.95 Typical High $1.95 | Professional | None | $1.74 | $1.95 | $1.95 |
Cigna Setting Facility Modifier None Typical Low $1.86 Median $3.09 Typical High $7.08 | Facility | None | $1.86 | $3.09 | $7.08 |
Cigna Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | None | $1.86 | $1.86 | $1.86 |
Emblem Health Setting Professional Modifier None Typical Low $1.95 Median $2.04 Typical High $9.12 | Professional | None | $1.95 | $2.04 | $9.12 |
Geisinger Setting Facility Modifier None Typical Low $1.86 Median $1.86 Typical High $1.86 | Facility | None | $1.86 | $1.86 | $1.86 |
Geisinger Setting Professional Modifier None Typical Low $1.95 Median $3.72 Typical High $6.17 | Professional | None | $1.95 | $3.72 | $6.17 |
Martin's Point Setting Facility Modifier None Typical Low $1.86 Median $2.51 Typical High $3.55 | Facility | None | $1.86 | $2.51 | $3.55 |
Martin's Point Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $1.91 | Professional | None | $1.86 | $1.86 | $1.91 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.93 Median $0.93 Typical High $0.95 | Professional | 52 · Reduced service | $0.93 | $0.93 | $0.95 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.37 Median $0.37 Typical High $0.38 | Professional | 53 · Discontinued | $0.37 | $0.37 | $0.38 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | 55 · Aftercare only | $0.28 | $0.28 | $0.28 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.19 Median $0.19 Typical High $0.19 | Professional | 56 · Pre-op care only | $0.19 | $0.19 | $0.19 |
Oscar Health Setting Professional Modifier None Typical Low $3.98 Median $15.85 Typical High $15.85 | Professional | None | $3.98 | $15.85 | $15.85 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.79 Median $2.19 Typical High $2.51 | Facility | None | $0.79 | $2.19 | $2.51 |
UPMC Health Plan Setting Professional Modifier None Typical Low $0.79 Median $0.81 Typical High $0.91 | Professional | None | $0.79 | $0.81 | $0.91 |
United Setting Professional Modifier None Typical Low $1.48 Median $1.66 Typical High $1.86 | Professional | None | $1.48 | $1.66 | $1.86 |
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· 22nd of 51
$1.86
AK $2.29MD $1.66
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.