How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $0.21 Median $0.21 Typical High $0.23 | Facility | None | $0.21 | $0.21 | $0.23 |
Aetna Setting Professional Modifier None Typical Low $0.21 Median $0.23 Typical High $0.23 | Professional | None | $0.21 | $0.23 | $0.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 55 · Aftercare only | $0.03 | $0.03 | $0.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 56 · Pre-op care only | $0.02 | $0.02 | $0.02 |
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 $0.36 Median $0.36 Typical High $0.37 | Professional | None | $0.36 | $0.36 | $0.37 |
Cigna Setting Professional Modifier None Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | None | $0.28 | $0.28 | $0.28 |
Geisinger Setting Professional Modifier None Typical Low $0.33 Median $0.33 Typical High $0.58 | Professional | None | $0.33 | $0.33 | $0.58 |
Martin's Point Setting Facility Modifier None Typical Low $0.21 Median $0.21 Typical High $0.21 | Facility | None | $0.21 | $0.21 | $0.21 |
Martin's Point Setting Professional Modifier None Typical Low $0.21 Median $0.23 Typical High $0.23 | Professional | None | $0.21 | $0.23 | $0.23 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 55 · Aftercare only | $0.03 | $0.03 | $0.03 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 56 · Pre-op care only | $0.02 | $0.02 | $0.02 |
Oscar Health Setting Professional Modifier None Typical Low $0.40 Median $0.79 Typical High $0.79 | Professional | None | $0.40 | $0.79 | $0.79 |
United Setting Professional Modifier None Typical Low $0.19 Median $0.22 Typical High $0.34 | Professional | None | $0.19 | $0.22 | $0.34 |
Where Pennsylvania sits
The same service costs 15.5 times more in Minnesota than in Hawaii. 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· 27th of 51
$0.28
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.