How much rates vary
Facilitymedian $2 · 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 $0.26 Median $0.26 Typical High $0.32 | Facility | None | $0.26 | $0.26 | $0.32 |
Aetna Setting Professional Modifier None Typical Low $0.26 Median $0.28 Typical High $0.34 | Professional | None | $0.26 | $0.28 | $0.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.04 Median $0.04 Typical High $0.05 | Professional | 55 · Aftercare only | $0.04 | $0.04 | $0.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 56 · Pre-op care only | $0.03 | $0.03 | $0.03 |
Ambetter Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
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 $0.38 Median $0.38 Typical High $0.38 | Professional | None | $0.38 | $0.38 | $0.38 |
Cigna Setting Professional Modifier None Typical Low $0.24 Median $0.24 Typical High $0.24 | Professional | None | $0.24 | $0.24 | $0.24 |
Martin's Point Setting Facility Modifier None Typical Low $0.26 Median $0.26 Typical High $0.32 | Facility | None | $0.26 | $0.26 | $0.32 |
Martin's Point Setting Professional Modifier None Typical Low $0.26 Median $0.28 Typical High $0.32 | Professional | None | $0.26 | $0.28 | $0.32 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.04 Median $0.04 Typical High $0.05 | Professional | 55 · Aftercare only | $0.04 | $0.04 | $0.05 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 56 · Pre-op care only | $0.03 | $0.03 | $0.03 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.44 Median $2.29 Typical High $3.98 | Facility | None | $0.44 | $2.29 | $3.98 |
UPMC Health Plan Setting Professional Modifier None Typical Low $0.44 Median $0.44 Typical High $0.51 | Professional | None | $0.44 | $0.44 | $0.51 |
United Setting Professional Modifier None Typical Low $0.16 Median $0.47 Typical High $0.78 | Professional | None | $0.16 | $0.47 | $0.78 |
Where Pennsylvania sits
The same service costs 3.1 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
$0.32
FL $0.74AL $0.24
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.