How much rates vary
Facilitymedian $36 · 10th to 90th $6 to $5,012Professionalmedian $7 · 10th to 90th $5 to $11
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 $6.46 Median $6.46 Typical High $7.76 | Facility | None | $6.46 | $6.46 | $7.76 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $7.08 Typical High $7.76 | Professional | None | $6.46 | $7.08 | $7.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.98 Median $1.07 Typical High $1.17 | Professional | 55 · Aftercare only | $0.98 | $1.07 | $1.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.65 Median $0.72 Typical High $0.79 | Professional | 56 · Pre-op care only | $0.65 | $0.72 | $0.79 |
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 $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
Martin's Point Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $7.76 | Facility | None | $6.46 | $6.46 | $7.76 |
Martin's Point Setting Professional Modifier None Typical Low $6.46 Median $7.08 Typical High $7.76 | Professional | None | $6.46 | $7.08 | $7.76 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.98 Median $1.07 Typical High $1.17 | Professional | 55 · Aftercare only | $0.98 | $1.07 | $1.17 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.65 Median $0.72 Typical High $0.79 | Professional | 56 · Pre-op care only | $0.65 | $0.72 | $0.79 |
UPMC Health Plan Setting Facility Modifier None Typical Low $7.94 Median $36.31 Typical High $63.10 | Facility | None | $7.94 | $36.31 | $63.10 |
UPMC Health Plan Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $10.72 | Professional | None | $7.94 | $7.94 | $10.72 |
United Setting Professional Modifier None Typical Low $3.89 Median $9.33 Typical High $14.79 | Professional | None | $3.89 | $9.33 | $14.79 |
Where Pennsylvania sits
The same service costs 4.7 times more in Florida than in New York. 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· 40th of 51
$7.76
FL $17.78NY $3.80
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.