How much rates vary
Facilitymedian $49 · 10th to 90th $42 to $151Professionalmedian $43 · 10th to 90th $42 to $49
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 $41.69 Median $57.54 Typical High $114.82 | Facility | None | $41.69 | $57.54 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $42.66 Typical High $42.66 | Professional | None | $41.69 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $20.89 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $8.32 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 55 · Aftercare only | $6.31 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.27 Typical High $4.27 | Professional | 56 · Pre-op care only | $4.17 | $4.27 | $4.27 |
Capital Blue Cross Setting Facility Modifier None Typical Low $39.81 Median $45.71 Typical High $53.70 | Facility | None | $39.81 | $45.71 | $53.70 |
Capital Blue Cross Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $70.79 Typical High $158.49 | Facility | None | $41.69 | $70.79 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Geisinger Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Geisinger Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $75.86 | Professional | None | $63.10 | $63.10 | $75.86 |
Martin's Point Setting Facility Modifier None Typical Low $41.69 Median $67.61 Typical High $114.82 | Facility | None | $41.69 | $67.61 | $114.82 |
Martin's Point Setting Professional Modifier None Typical Low $41.69 Median $42.66 Typical High $42.66 | Professional | None | $41.69 | $42.66 | $42.66 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $20.89 | $21.38 | $21.38 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $8.32 | $8.51 | $8.51 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 55 · Aftercare only | $6.31 | $6.31 | $6.31 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.27 Typical High $4.27 | Professional | 56 · Pre-op care only | $4.17 | $4.27 | $4.27 |
UPMC Health Plan Setting Facility Modifier None Typical Low $41.69 Median $48.98 Typical High $51.29 | Facility | None | $41.69 | $48.98 | $51.29 |
UPMC Health Plan Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $48.98 | Professional | None | $41.69 | $41.69 | $48.98 |
United Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $61.66 | Professional | None | $44.67 | $44.67 | $61.66 |
Where Pennsylvania sits
The same service costs 1.8 times more in Arizona than in Georgia. 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· 45th of 51
$42.66
AZ $74.13GA $41.69
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.