How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $1 to $1
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 $0.79 Median $1.20 Typical High $2.00 | Facility | None | $0.79 | $1.20 | $2.00 |
Aetna Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | None | $0.79 | $0.79 | $0.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.40 Median $0.40 Typical High $0.40 | Professional | 52 · Reduced service | $0.40 | $0.40 | $0.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.16 Median $0.16 Typical High $0.16 | Professional | 53 · Discontinued | $0.16 | $0.16 | $0.16 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.12 Median $0.12 Typical High $0.12 | Professional | 55 · Aftercare only | $0.12 | $0.12 | $0.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.08 | $0.08 | $0.08 |
Capital Blue Cross Setting Facility Modifier None Typical Low $0.76 Median $0.85 Typical High $1.02 | Facility | None | $0.76 | $0.85 | $1.02 |
Capital Blue Cross Setting Professional Modifier None Typical Low $0.76 Median $0.83 Typical High $0.83 | Professional | None | $0.76 | $0.83 | $0.83 |
Cigna Setting Facility Modifier None Typical Low $0.79 Median $1.35 Typical High $3.09 | Facility | None | $0.79 | $1.35 | $3.09 |
Cigna Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | None | $0.79 | $0.79 | $0.79 |
Emblem Health Setting Professional Modifier None Typical Low $0.87 Median $1.20 Typical High $1.32 | Professional | None | $0.87 | $1.20 | $1.32 |
Geisinger Setting Facility Modifier None Typical Low $0.79 Median $0.79 Typical High $0.79 | Facility | None | $0.79 | $0.79 | $0.79 |
Geisinger Setting Professional Modifier None Typical Low $0.83 Median $1.15 Typical High $1.70 | Professional | None | $0.83 | $1.15 | $1.70 |
Martin's Point Setting Facility Modifier None Typical Low $0.79 Median $1.20 Typical High $2.00 | Facility | None | $0.79 | $1.20 | $2.00 |
Martin's Point Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | None | $0.79 | $0.79 | $0.79 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.40 Median $0.40 Typical High $0.40 | Professional | 52 · Reduced service | $0.40 | $0.40 | $0.40 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.16 Median $0.16 Typical High $0.16 | Professional | 53 · Discontinued | $0.16 | $0.16 | $0.16 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.12 Median $0.12 Typical High $0.12 | Professional | 55 · Aftercare only | $0.12 | $0.12 | $0.12 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.08 | $0.08 | $0.08 |
Oscar Health Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | None | $1.82 | $1.82 | $1.82 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.81 Median $0.81 Typical High $0.93 | Facility | None | $0.81 | $0.81 | $0.93 |
UPMC Health Plan Setting Professional Modifier None Typical Low $0.81 Median $0.83 Typical High $0.93 | Professional | None | $0.81 | $0.83 | $0.93 |
United Setting Professional Modifier None Typical Low $0.71 Median $0.83 Typical High $1.00 | Professional | None | $0.71 | $0.83 | $1.00 |
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· 43rd of 51
$0.79
WY $1.12WV $0.79
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.