How much rates vary
Facilitymedian $3 · 10th to 90th $0 to $5,012Professionalmedian $0 · 10th to 90th $0 to $1
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 $0.32 Median $0.32 Typical High $0.39 | Facility | None | $0.32 | $0.32 | $0.39 |
Aetna Setting Professional Modifier None Typical Low $0.32 Median $0.36 Typical High $0.41 | Professional | None | $0.32 | $0.36 | $0.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.05 Typical High $0.06 | Professional | 55 · Aftercare only | $0.05 | $0.05 | $0.06 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.03 | $0.04 | $0.04 |
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 $0.45 Median $0.45 Typical High $0.45 | Professional | None | $0.45 | $0.45 | $0.45 |
Cigna Setting Professional Modifier None Typical Low $0.33 Median $0.33 Typical High $0.33 | Professional | None | $0.33 | $0.33 | $0.33 |
Martin's Point Setting Facility Modifier None Typical Low $0.32 Median $0.32 Typical High $0.39 | Facility | None | $0.32 | $0.32 | $0.39 |
Martin's Point Setting Professional Modifier None Typical Low $0.32 Median $0.36 Typical High $0.39 | Professional | None | $0.32 | $0.36 | $0.39 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.05 Typical High $0.06 | Professional | 55 · Aftercare only | $0.05 | $0.05 | $0.06 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.03 | $0.04 | $0.04 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.52 Median $2.82 Typical High $4.79 | Facility | None | $0.52 | $2.82 | $4.79 |
UPMC Health Plan Setting Professional Modifier None Typical Low $0.52 Median $0.52 Typical High $0.62 | Professional | None | $0.52 | $0.52 | $0.62 |
United Setting Professional Modifier None Typical Low $0.19 Median $0.56 Typical High $0.93 | Professional | None | $0.19 | $0.56 | $0.93 |
Where Pennsylvania sits
The same service costs 3.0 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· 45th of 51
$0.39
FL $0.91AL $0.30
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.