How much rates vary
Facilitymedian $117 · 10th to 90th $21 to $5,012Professionalmedian $23 · 10th to 90th $21 to $36
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 $20.89 Median $20.89 Typical High $25.70 | Facility | None | $20.89 | $20.89 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $23.44 Typical High $25.70 | Professional | None | $20.89 | $23.44 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $3.47 Typical High $3.80 | Professional | 55 · Aftercare only | $3.16 | $3.47 | $3.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.29 Typical High $2.51 | Professional | 56 · Pre-op care only | $2.09 | $2.29 | $2.51 |
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 $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Martin's Point Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $25.70 | Facility | None | $20.89 | $20.89 | $25.70 |
Martin's Point Setting Professional Modifier None Typical Low $20.89 Median $23.44 Typical High $25.70 | Professional | None | $20.89 | $23.44 | $25.70 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $3.47 Typical High $3.80 | Professional | 55 · Aftercare only | $3.16 | $3.47 | $3.80 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.29 Typical High $2.51 | Professional | 56 · Pre-op care only | $2.09 | $2.29 | $2.51 |
UPMC Health Plan Setting Facility Modifier None Typical Low $25.70 Median $117.49 Typical High $204.17 | Facility | None | $25.70 | $117.49 | $204.17 |
UPMC Health Plan Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $34.67 | Professional | None | $25.70 | $25.70 | $34.67 |
United Setting Professional Modifier None Typical Low $12.59 Median $30.20 Typical High $47.86 | Professional | None | $12.59 | $30.20 | $47.86 |
Where Pennsylvania sits
The same service costs 3.5 times more in Montana 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· 37th of 51
$25.70
MT $43.65NY $12.59
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.