How much rates vary
Facilitymedian $6 · 10th to 90th $1 to $5,012Professionalmedian $1 · 10th to 90th $1 to $2
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 $0.95 Median $0.95 Typical High $14,125.38 | Facility | None | $0.95 | $0.95 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $0.95 Median $1.20 Typical High $1.20 | Professional | None | $0.95 | $1.20 | $1.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.48 Median $0.60 Typical High $0.60 | Professional | 52 · Reduced service | $0.48 | $0.60 | $0.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.19 Median $0.24 Typical High $0.24 | Professional | 53 · Discontinued | $0.19 | $0.24 | $0.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.14 Median $0.18 Typical High $0.18 | Professional | 55 · Aftercare only | $0.14 | $0.18 | $0.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.12 Typical High $0.12 | Professional | 56 · Pre-op care only | $0.10 | $0.12 | $0.12 |
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 $1.78 Median $1.95 Typical High $1.95 | Professional | None | $1.78 | $1.95 | $1.95 |
Cigna Setting Facility Modifier None Typical Low $1.17 Median $1.17 Typical High $1.17 | Facility | None | $1.17 | $1.17 | $1.17 |
Cigna Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | None | $1.00 | $1.00 | $1.00 |
Emblem Health Setting Professional Modifier None Typical Low $2.63 Median $2.88 Typical High $3.63 | Professional | None | $2.63 | $2.88 | $3.63 |
Geisinger Setting Facility Modifier None Typical Low $2.00 Median $2.00 Typical High $2.00 | Facility | None | $2.00 | $2.00 | $2.00 |
Geisinger Setting Professional Modifier None Typical Low $1.20 Median $1.29 Typical High $2.00 | Professional | None | $1.20 | $1.29 | $2.00 |
Martin's Point Setting Facility Modifier None Typical Low $0.95 Median $0.95 Typical High $14,125.38 | Facility | None | $0.95 | $0.95 | $14,125.38 |
Martin's Point Setting Professional Modifier None Typical Low $0.95 Median $1.20 Typical High $1.20 | Professional | None | $0.95 | $1.20 | $1.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.48 Median $0.60 Typical High $0.60 | Professional | 52 · Reduced service | $0.48 | $0.60 | $0.60 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.19 Median $0.24 Typical High $0.24 | Professional | 53 · Discontinued | $0.19 | $0.24 | $0.24 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.14 Median $0.18 Typical High $0.18 | Professional | 55 · Aftercare only | $0.14 | $0.18 | $0.18 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.12 Typical High $0.12 | Professional | 56 · Pre-op care only | $0.10 | $0.12 | $0.12 |
Oscar Health Setting Professional Modifier None Typical Low $2.00 Median $2.82 Typical High $2.88 | Professional | None | $2.00 | $2.82 | $2.88 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1.41 Median $6.31 Typical High $10.96 | Facility | None | $1.41 | $6.31 | $10.96 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1.41 Median $1.41 Typical High $1.86 | Professional | None | $1.41 | $1.41 | $1.86 |
United Setting Professional Modifier None Typical Low $0.83 Median $0.98 Typical High $1.38 | Professional | None | $0.83 | $0.98 | $1.38 |
Where Pennsylvania sits
The same service costs 2.6 times more in Hawaii 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· 23rd of 51
$1.20
HI $2.14UT $0.83
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.