How much rates vary
Facilitymedian $34 · 10th to 90th $4 to $5,012Professionalmedian $4 · 10th to 90th $3 to $7
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 $3.63 Median $3.63 Typical High $4.47 | Facility | None | $3.63 | $3.63 | $4.47 |
Aetna Setting Professional Modifier None Typical Low $3.63 Median $4.07 Typical High $5.13 | Professional | None | $3.63 | $4.07 | $5.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.55 Median $0.62 Typical High $0.71 | Professional | 55 · Aftercare only | $0.55 | $0.62 | $0.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.37 Median $0.41 Typical High $0.47 | Professional | 56 · Pre-op care only | $0.37 | $0.41 | $0.47 |
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 $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | None | $2.57 | $2.57 | $2.57 |
Martin's Point Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $4.47 | Facility | None | $3.63 | $3.63 | $4.47 |
Martin's Point Setting Professional Modifier None Typical Low $3.63 Median $4.07 Typical High $4.47 | Professional | None | $3.63 | $4.07 | $4.47 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.55 Median $0.62 Typical High $0.68 | Professional | 55 · Aftercare only | $0.55 | $0.62 | $0.68 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.37 Median $0.41 Typical High $0.45 | Professional | 56 · Pre-op care only | $0.37 | $0.41 | $0.45 |
UPMC Health Plan Setting Facility Modifier None Typical Low $6.03 Median $33.88 Typical High $57.54 | Facility | None | $6.03 | $33.88 | $57.54 |
UPMC Health Plan Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $7.41 | Professional | None | $6.03 | $6.03 | $7.41 |
United Setting Professional Modifier None Typical Low $2.19 Median $6.61 Typical High $10.96 | Professional | None | $2.19 | $6.61 | $10.96 |
Where Pennsylvania sits
The same service costs 4.2 times more in Kansas than in Delaware. 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· 42nd of 51
$4.47
KS $10.72DE $2.57
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.