How much rates vary
Facilitymedian $100 · 10th to 90th $0 to $1,413Professionalmedian $0 · 10th to 90th $0 to $501
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 $0.33 Median $501.19 Typical High $1,412.54 | Facility | None | $0.33 | $501.19 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $0.31 Median $0.35 Typical High $0.37 | Professional | None | $0.31 | $0.35 | $0.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.16 Median $0.17 Typical High $0.19 | Professional | 52 · Reduced service | $0.16 | $0.17 | $0.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.06 Median $0.07 Typical High $0.07 | Professional | 53 · Discontinued | $0.06 | $0.07 | $0.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.05 Typical High $0.06 | Professional | 55 · Aftercare only | $0.05 | $0.05 | $0.06 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.03 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.03 | $0.03 | $0.04 |
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 $58,884.37 Median $58,884.37 Typical High $58,884.37 | Professional | None | $58,884.37 | $58,884.37 | $58,884.37 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $128.82 Typical High $177.83 | Facility | None | $47.86 | $128.82 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $0.31 Median $0.31 Typical High $501.19 | Professional | None | $0.31 | $0.31 | $501.19 |
Martin's Point Setting Facility Modifier None Typical Low $0.33 Median $0.37 Typical High $1,479.11 | Facility | None | $0.33 | $0.37 | $1,479.11 |
Martin's Point Setting Professional Modifier None Typical Low $0.31 Median $0.34 Typical High $0.37 | Professional | None | $0.31 | $0.34 | $0.37 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.16 Median $0.16 Typical High $0.19 | Professional | 52 · Reduced service | $0.16 | $0.16 | $0.19 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.06 Median $0.06 Typical High $0.07 | Professional | 53 · Discontinued | $0.06 | $0.06 | $0.07 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.05 Typical High $0.06 | Professional | 55 · Aftercare only | $0.05 | $0.05 | $0.06 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.03 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.03 | $0.03 | $0.04 |
UPMC Health Plan Setting Facility Modifier None Typical Low $22.91 Median $53.70 Typical High $91.20 | Facility | None | $22.91 | $53.70 | $91.20 |
UPMC Health Plan Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
United Setting Facility Modifier None Typical Low $64.57 Median $138.04 Typical High $158.49 | Facility | None | $64.57 | $138.04 | $158.49 |
Where Pennsylvania sits
The same service costs 645.7 times more in Oklahoma than in Florida. 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· 37th of 51
$0.37
OK $166FL $0.26
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.