How much rates vary
Facilitymedian $178 · 10th to 90th $12 to $479Professionalmedian $13 · 10th to 90th $3 to $126
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 $2.51 Median $2.51 Typical High $2.51 | Facility | None | $2.51 | $2.51 | $2.51 |
Aetna Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | None | $2.51 | $2.51 | $2.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | 52 · Reduced service | $1.26 | $1.26 | $1.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.50 Median $0.50 Typical High $0.50 | Professional | 53 · Discontinued | $0.50 | $0.50 | $0.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.37 Median $0.37 Typical High $0.38 | Professional | 55 · Aftercare only | $0.37 | $0.37 | $0.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.25 Median $0.25 Typical High $0.25 | Professional | 56 · Pre-op care only | $0.25 | $0.25 | $0.25 |
Capital Blue Cross Setting Facility Modifier None Typical Low $10.96 Median $12.59 Typical High $5,011.87 | Facility | None | $10.96 | $12.59 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $11.22 Median $12.59 Typical High $12.59 | Professional | None | $11.22 | $12.59 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $181.97 Typical High $478.63 | Facility | None | $125.89 | $181.97 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $131.83 | Professional | None | $125.89 | $125.89 | $131.83 |
Emblem Health Setting Professional Modifier None Typical Low $10.96 Median $12.88 Typical High $218.78 | Professional | None | $10.96 | $12.88 | $218.78 |
Geisinger Setting Professional Modifier None Typical Low $117.49 Median $144.54 Typical High $208.93 | Professional | None | $117.49 | $144.54 | $208.93 |
Martin's Point Setting Facility Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Facility | None | $2.51 | $2.51 | $2.51 |
Martin's Point Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | None | $2.51 | $2.51 | $2.51 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | 52 · Reduced service | $1.26 | $1.26 | $1.26 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.50 Median $0.50 Typical High $0.50 | Professional | 53 · Discontinued | $0.50 | $0.50 | $0.50 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.37 Median $0.37 Typical High $0.38 | Professional | 55 · Aftercare only | $0.37 | $0.37 | $0.38 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.25 Median $0.25 Typical High $0.25 | Professional | 56 · Pre-op care only | $0.25 | $0.25 | $0.25 |
Oscar Health Setting Professional Modifier None Typical Low $3.24 Median $9.55 Typical High $14.13 | Professional | None | $3.24 | $9.55 | $14.13 |
UPMC Health Plan Setting Facility Modifier None Typical Low $10.47 Median $208.93 Typical High $338.84 | Facility | None | $10.47 | $208.93 | $338.84 |
UPMC Health Plan Setting Professional Modifier None Typical Low $9.12 Median $10.47 Typical High $10.47 | Professional | None | $9.12 | $10.47 | $10.47 |
United Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $134.90 | Professional | None | $107.15 | $125.89 | $134.90 |
Where Pennsylvania sits
The same service costs 50.1 times more in Massachusetts than in Indiana. 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· 35th of 51
$12.59
MA $126IN $2.51
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.