How much rates vary
Facilitymedian $6 · 10th to 90th $5 to $19Professionalmedian $5 · 10th to 90th $5 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 $5.13 Median $7.76 Typical High $14.13 | Facility | None | $5.13 | $7.76 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | 52 · Reduced service | $2.57 | $2.57 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.05 Typical High $1.05 | Professional | 53 · Discontinued | $1.02 | $1.05 | $1.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.78 Median $0.78 Typical High $0.78 | Professional | 55 · Aftercare only | $0.78 | $0.78 | $0.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.51 Median $0.52 Typical High $0.52 | Professional | 56 · Pre-op care only | $0.51 | $0.52 | $0.52 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4.90 Median $5.62 Typical High $6.61 | Facility | None | $4.90 | $5.62 | $6.61 |
Capital Blue Cross Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | None | $5.37 | $5.37 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $8.51 Typical High $19.50 | Facility | None | $5.13 | $8.51 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
Geisinger Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
Geisinger Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $9.33 | Professional | None | $7.76 | $7.76 | $9.33 |
Highmark BCBS Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
Martin's Point Setting Facility Modifier None Typical Low $5.13 Median $7.76 Typical High $14.13 | Facility | None | $5.13 | $7.76 | $14.13 |
Martin's Point 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 Professional Modifier 52 · Reduced service Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | 52 · Reduced service | $2.57 | $2.57 | $2.57 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.05 Typical High $1.05 | Professional | 53 · Discontinued | $1.02 | $1.05 | $1.05 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.78 Median $0.78 Typical High $0.78 | Professional | 55 · Aftercare only | $0.78 | $0.78 | $0.78 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.51 Median $0.52 Typical High $0.52 | Professional | 56 · Pre-op care only | $0.51 | $0.52 | $0.52 |
UPMC Health Plan Setting Facility Modifier None Typical Low $4.57 Median $6.03 Typical High $6.31 | Facility | None | $4.57 | $6.03 | $6.31 |
UPMC Health Plan Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $5.37 | Professional | None | $4.57 | $4.57 | $5.37 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
United Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $7.59 | Professional | None | $5.13 | $5.13 | $7.59 |
Where Pennsylvania sits
The same service costs 1.7 times more in Arizona than in New Mexico. 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
$5.13
AZ $8.71NM $5.13
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.