How much rates vary
Facilitymedian $6 · 10th to 90th $6 to $20Professionalmedian $6 · 10th to 90th $6 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 $5.62 Median $8.13 Typical High $15.14 | Facility | None | $5.62 | $8.13 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | 52 · Reduced service | $2.82 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | 53 · Discontinued | $1.12 | $1.12 | $1.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.83 Median $0.85 Typical High $0.85 | Professional | 55 · Aftercare only | $0.83 | $0.85 | $0.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.56 Median $0.56 Typical High $0.56 | Professional | 56 · Pre-op care only | $0.56 | $0.56 | $0.56 |
Capital Blue Cross Setting Facility Modifier None Typical Low $5.25 Median $6.03 Typical High $7.24 | Facility | None | $5.25 | $6.03 | $7.24 |
Capital Blue Cross Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $9.33 Typical High $21.38 | Facility | None | $5.62 | $9.33 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
Geisinger Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Facility | None | $5.62 | $5.62 | $5.62 |
Geisinger Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $10.00 | Professional | None | $8.32 | $8.32 | $10.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $4.17 Median $4.17 Typical High $6.92 | Facility | None | $4.17 | $4.17 | $6.92 |
Martin's Point Setting Facility Modifier None Typical Low $5.62 Median $8.51 Typical High $15.14 | Facility | None | $5.62 | $8.51 | $15.14 |
Martin's Point Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | 52 · Reduced service | $2.82 | $2.82 | $2.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | 53 · Discontinued | $1.12 | $1.12 | $1.12 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.83 Median $0.85 Typical High $0.85 | Professional | 55 · Aftercare only | $0.83 | $0.85 | $0.85 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.56 Median $0.56 Typical High $0.56 | Professional | 56 · Pre-op care only | $0.56 | $0.56 | $0.56 |
UPMC Health Plan Setting Facility Modifier None Typical Low $5.13 Median $6.46 Typical High $6.92 | Facility | None | $5.13 | $6.46 | $6.92 |
UPMC Health Plan Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.89 | Professional | None | $5.13 | $5.13 | $5.89 |
United Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Facility | None | $5.62 | $5.62 | $5.62 |
United Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $7.94 | Professional | None | $5.62 | $5.62 | $7.94 |
Where Pennsylvania sits
The same service costs 1.7 times more in Arizona than in Vermont. 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
$5.62
AZ $9.55VT $5.62
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.