How much rates vary
Facilitymedian $37 · 10th to 90th $10 to $1,047Professionalmedian $10 · 10th to 90th $7 to $50
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 $7.08 Median $7.08 Typical High $7.76 | Facility | None | $7.08 | $7.08 | $7.76 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $7.76 Typical High $8.51 | Professional | None | $7.08 | $7.76 | $8.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.55 Median $3.89 Typical High $4.17 | Professional | 52 · Reduced service | $3.55 | $3.89 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.55 Typical High $1.66 | Professional | 53 · Discontinued | $1.45 | $1.55 | $1.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.07 Median $1.15 Typical High $1.26 | Professional | 55 · Aftercare only | $1.07 | $1.15 | $1.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.71 Median $0.78 Typical High $0.83 | Professional | 56 · Pre-op care only | $0.71 | $0.78 | $0.83 |
Capital Blue Cross Setting Facility Modifier None Typical Low $42.66 Median $47.86 Typical High $5,011.87 | Facility | None | $42.66 | $47.86 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $45.71 Median $50.12 Typical High $50.12 | Professional | None | $45.71 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $16.22 Typical High $37.15 | Facility | None | $9.77 | $16.22 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Geisinger Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Highmark BCBS Setting Facility Modifier None Typical Low $35.48 Median $42.66 Typical High $50.12 | Facility | None | $35.48 | $42.66 | $50.12 |
Martin's Point Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $7.76 | Facility | None | $7.08 | $7.08 | $7.76 |
Martin's Point Setting Professional Modifier None Typical Low $7.08 Median $7.76 Typical High $7.76 | Professional | None | $7.08 | $7.76 | $7.76 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $3.55 Median $3.89 Typical High $3.89 | Professional | 52 · Reduced service | $3.55 | $3.89 | $3.89 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.55 Typical High $1.55 | Professional | 53 · Discontinued | $1.45 | $1.55 | $1.55 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.07 Median $1.15 Typical High $1.15 | Professional | 55 · Aftercare only | $1.07 | $1.15 | $1.15 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.71 Median $0.78 Typical High $0.78 | Professional | 56 · Pre-op care only | $0.71 | $0.78 | $0.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $537.03 Median $741.31 Typical High $1,202.26 | Facility | None | $537.03 | $741.31 | $1,202.26 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
United Setting Professional Modifier None Typical Low $5.75 Median $7.41 Typical High $8.71 | Professional | None | $5.75 | $7.41 | $8.71 |
Where Pennsylvania sits
The same service costs 46.8 times more in New York than in Arkansas. 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
$9.77
NY $324AR $6.92
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.