How much rates vary
Facilitymedian $21 · 10th to 90th $19 to $68Professionalmedian $19 · 10th to 90th $19 to $22
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 $18.62 Median $54.95 Typical High $112.20 | Facility | None | $18.62 | $54.95 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | 53 · Discontinued | $3.72 | $3.72 | $3.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.75 Median $2.75 Typical High $2.82 | Professional | 55 · Aftercare only | $2.75 | $2.75 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | 56 · Pre-op care only | $1.86 | $1.86 | $1.86 |
Capital Blue Cross Setting Facility Modifier None Typical Low $17.38 Median $19.95 Typical High $23.44 | Facility | None | $17.38 | $19.95 | $23.44 |
Capital Blue Cross Setting Professional Modifier None Typical Low $16.98 Median $19.05 Typical High $19.05 | Professional | None | $16.98 | $19.05 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $30.90 Typical High $70.79 | Facility | None | $18.62 | $30.90 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Emblem Health Setting Professional Modifier None Typical Low $15.85 Median $19.05 Typical High $32.36 | Professional | None | $15.85 | $19.05 | $32.36 |
Geisinger Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Geisinger Setting Professional Modifier None Typical Low $18.62 Median $23.99 Typical High $41.69 | Professional | None | $18.62 | $23.99 | $41.69 |
Highmark BCBS Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Highmark BCBS Setting Professional Modifier None Typical Low $28.84 Median $33.88 Typical High $35.48 | Professional | None | $28.84 | $33.88 | $35.48 |
Martin's Point Setting Facility Modifier None Typical Low $18.62 Median $54.95 Typical High $112.20 | Facility | None | $18.62 | $54.95 | $112.20 |
Martin's Point Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $9.33 | $9.33 | $9.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | 53 · Discontinued | $3.72 | $3.72 | $3.72 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2.75 Median $2.75 Typical High $2.82 | Professional | 55 · Aftercare only | $2.75 | $2.75 | $2.82 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | 56 · Pre-op care only | $1.86 | $1.86 | $1.86 |
Oscar Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $144.54 | Professional | None | $30.20 | $30.20 | $144.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $57.54 | Facility | None | $21.38 | $21.38 | $57.54 |
UPMC Health Plan Setting Professional Modifier None Typical Low $50.12 Median $51.29 Typical High $57.54 | Professional | None | $50.12 | $51.29 | $57.54 |
United Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
United Setting Professional Modifier None Typical Low $18.62 Median $21.38 Typical High $25.70 | Professional | None | $18.62 | $21.38 | $25.70 |
Where Pennsylvania sits
The same service costs 1.8 times more in Hawaii than in Ohio. 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· 33rd of 51
$19.05
HI $33.11OH $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.