How much rates vary
Facilitymedian $4 · 10th to 90th $1 to $5,012Professionalmedian $1 · 10th to 90th $1 to $6
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 $0.55 Median $0.55 Typical High $0.66 | Facility | None | $0.55 | $0.55 | $0.66 |
Aetna Setting Professional Modifier None Typical Low $0.55 Median $0.62 Typical High $0.79 | Professional | None | $0.55 | $0.62 | $0.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.08 Median $0.09 Typical High $0.11 | Professional | 55 · Aftercare only | $0.08 | $0.09 | $0.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.06 Typical High $0.07 | Professional | 56 · Pre-op care only | $0.06 | $0.06 | $0.07 |
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 $0.87 Median $0.87 Typical High $0.87 | Professional | None | $0.87 | $0.87 | $0.87 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | None | $5.89 | $5.89 | $5.89 |
Martin's Point Setting Facility Modifier None Typical Low $0.55 Median $0.55 Typical High $0.66 | Facility | None | $0.55 | $0.55 | $0.66 |
Martin's Point Setting Professional Modifier None Typical Low $0.55 Median $0.62 Typical High $0.66 | Professional | None | $0.55 | $0.62 | $0.66 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.08 Median $0.09 Typical High $0.10 | Professional | 55 · Aftercare only | $0.08 | $0.09 | $0.10 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.06 Typical High $0.07 | Professional | 56 · Pre-op care only | $0.06 | $0.06 | $0.07 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.87 Median $3.98 Typical High $6.76 | Facility | None | $0.87 | $3.98 | $6.76 |
UPMC Health Plan Setting Professional Modifier None Typical Low $0.87 Median $0.87 Typical High $0.91 | Professional | None | $0.87 | $0.87 | $0.91 |
United Setting Professional Modifier None Typical Low $0.33 Median $0.91 Typical High $1.41 | Professional | None | $0.33 | $0.91 | $1.41 |
Where Pennsylvania sits
The same service costs 3.6 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· 37th of 51
$0.83
FL $1.70AL $0.47
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.