How much rates vary
Facilitymedian $10 · 10th to 90th $1 to $5,012Professionalmedian $2 · 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 $1.38 Median $1.38 Typical High $1.66 | Facility | None | $1.38 | $1.38 | $1.66 |
Aetna Setting Professional Modifier None Typical Low $1.38 Median $1.51 Typical High $1.91 | Professional | None | $1.38 | $1.51 | $1.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.21 Median $0.23 Typical High $0.28 | Professional | 55 · Aftercare only | $0.21 | $0.23 | $0.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.15 Typical High $0.19 | Professional | 56 · Pre-op care only | $0.14 | $0.15 | $0.19 |
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 $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Cigna Setting Professional Modifier None Typical Low $1.17 Median $1.17 Typical High $1.70 | Professional | None | $1.17 | $1.17 | $1.70 |
Martin's Point Setting Facility Modifier None Typical Low $1.38 Median $1.38 Typical High $1.66 | Facility | None | $1.38 | $1.38 | $1.66 |
Martin's Point Setting Professional Modifier None Typical Low $1.38 Median $1.51 Typical High $1.66 | Professional | None | $1.38 | $1.51 | $1.66 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.21 Median $0.23 Typical High $0.25 | Professional | 55 · Aftercare only | $0.21 | $0.23 | $0.25 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.15 Typical High $0.17 | Professional | 56 · Pre-op care only | $0.14 | $0.15 | $0.17 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2.24 Median $10.47 Typical High $17.78 | Facility | None | $2.24 | $10.47 | $17.78 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.29 | Professional | None | $2.24 | $2.24 | $2.29 |
United Setting Professional Modifier None Typical Low $0.81 Median $2.24 Typical High $3.47 | Professional | None | $0.81 | $2.24 | $3.47 |
Where Pennsylvania sits
The same service costs 33.1 times more in Kansas 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· 44th of 51
$1.66
KS $38.90AL $1.17
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.