How much rates vary
Facilitymedian $28 · 10th to 90th $11 to $5,012Professionalmedian $10 · 10th to 90th $6 to $14
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 $10.96 Median $12.30 Typical High $12.30 | Facility | None | $10.96 | $12.30 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $10.96 Typical High $12.30 | Professional | None | $9.55 | $10.96 | $12.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $5.50 Typical High $6.17 | Professional | 52 · Reduced service | $5.01 | $5.50 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.19 Typical High $2.45 | Professional | 53 · Discontinued | $2.00 | $2.19 | $2.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.48 Median $1.62 Typical High $1.82 | Professional | 55 · Aftercare only | $1.48 | $1.62 | $1.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.10 Typical High $1.23 | Professional | 56 · Pre-op care only | $1.00 | $1.10 | $1.23 |
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 $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
Emblem Health Setting Professional Modifier None Typical Low $17.78 Median $23.44 Typical High $30.20 | Professional | None | $17.78 | $23.44 | $30.20 |
Geisinger Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Geisinger Setting Professional Modifier None Typical Low $8.51 Median $10.00 Typical High $14.13 | Professional | None | $8.51 | $10.00 | $14.13 |
Martin's Point Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Martin's Point Setting Professional Modifier None Typical Low $10.00 Median $10.96 Typical High $12.30 | Professional | None | $10.00 | $10.96 | $12.30 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $5.50 Typical High $6.17 | Professional | 52 · Reduced service | $5.01 | $5.50 | $6.17 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.19 Typical High $2.45 | Professional | 53 · Discontinued | $2.00 | $2.19 | $2.45 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.48 Median $1.62 Typical High $1.82 | Professional | 55 · Aftercare only | $1.48 | $1.62 | $1.82 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.10 Typical High $1.23 | Professional | 56 · Pre-op care only | $1.00 | $1.10 | $1.23 |
Oscar Health Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
UPMC Health Plan Setting Facility Modifier None Typical Low $10.00 Median $45.71 Typical High $77.62 | Facility | None | $10.00 | $45.71 | $77.62 |
UPMC Health Plan Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $13.18 | Professional | None | $10.00 | $10.00 | $13.18 |
United Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $19.95 | Facility | None | $16.60 | $16.60 | $19.95 |
United Setting Professional Modifier None Typical Low $3.98 Median $6.92 Typical High $9.12 | Professional | None | $3.98 | $6.92 | $9.12 |
Where Pennsylvania sits
The same service costs 2.7 times more in Montana than in Utah. 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· 24th of 51
$10.00
MT $16.22UT $6.03
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.