How much rates vary
Facilitymedian $38 · 10th to 90th $7 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 $6.76 Median $6.76 Typical High $8.13 | Facility | None | $6.76 | $6.76 | $8.13 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $7.41 Typical High $8.13 | Professional | None | $6.76 | $7.41 | $8.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.00 Median $1.12 Typical High $1.23 | Professional | 55 · Aftercare only | $1.00 | $1.12 | $1.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.68 Median $0.74 Typical High $0.81 | Professional | 56 · Pre-op care only | $0.68 | $0.74 | $0.81 |
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 $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
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 $6.76 Median $6.76 Typical High $8.13 | Facility | None | $6.76 | $6.76 | $8.13 |
Martin's Point Setting Professional Modifier None Typical Low $6.76 Median $7.41 Typical High $8.13 | Professional | None | $6.76 | $7.41 | $8.13 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.00 Median $1.12 Typical High $1.23 | Professional | 55 · Aftercare only | $1.00 | $1.12 | $1.23 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.68 Median $0.74 Typical High $0.81 | Professional | 56 · Pre-op care only | $0.68 | $0.74 | $0.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $8.32 Median $38.02 Typical High $64.57 | Facility | None | $8.32 | $38.02 | $64.57 |
UPMC Health Plan Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $10.96 | Professional | None | $8.32 | $8.32 | $10.96 |
United Setting Professional Modifier None Typical Low $4.07 Median $9.55 Typical High $15.14 | Professional | None | $4.07 | $9.55 | $15.14 |
Where Pennsylvania sits
The same service costs 4.6 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· 38th of 51
$8.13
FL $18.62NY $4.07
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.