How much rates vary
Facilitymedian $68 · 10th to 90th $9 to $5,012Professionalmedian $11 · 10th to 90th $9 to $16
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 $9.12 Median $9.12 Typical High $10.96 | Facility | None | $9.12 | $9.12 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $10.00 Typical High $12.88 | Professional | None | $9.12 | $10.00 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.35 Median $1.51 Typical High $1.91 | Professional | 55 · Aftercare only | $1.35 | $1.51 | $1.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.91 Median $1.00 Typical High $1.26 | Professional | 56 · Pre-op care only | $0.91 | $1.00 | $1.26 |
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 $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Martin's Point Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $10.96 | Facility | None | $9.12 | $9.12 | $10.96 |
Martin's Point Setting Professional Modifier None Typical Low $9.12 Median $10.00 Typical High $10.96 | Professional | None | $9.12 | $10.00 | $10.96 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.35 Median $1.51 Typical High $1.66 | Professional | 55 · Aftercare only | $1.35 | $1.51 | $1.66 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.91 Median $1.00 Typical High $1.10 | Professional | 56 · Pre-op care only | $0.91 | $1.00 | $1.10 |
UPMC Health Plan Setting Facility Modifier None Typical Low $14.79 Median $67.61 Typical High $114.82 | Facility | None | $14.79 | $67.61 | $114.82 |
UPMC Health Plan Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
United Setting Professional Modifier None Typical Low $5.50 Median $14.79 Typical High $22.91 | Professional | None | $5.50 | $14.79 | $22.91 |
Where Pennsylvania sits
The same service costs 3.5 times more in Florida than in Alabama. 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· 30th of 51
$13.80
FL $25.70AL $7.24
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.