How much rates vary
Facilitymedian $12 · 10th to 90th $9 to $40Professionalmedian $11 · 10th to 90th $10 to $12
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 $10.72 Median $10.72 Typical High $30.90 | Facility | None | $10.72 | $10.72 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | 55 · Aftercare only | $1.62 | $1.62 | $1.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.07 Typical High $1.07 | Professional | 56 · Pre-op care only | $1.07 | $1.07 | $1.07 |
Capital Blue Cross Setting Facility Modifier None Typical Low $7.59 Median $8.71 Typical High $10.47 | Facility | None | $7.59 | $8.71 | $10.47 |
Capital Blue Cross Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | None | $8.71 | $8.71 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $17.78 Typical High $40.74 | Facility | None | $10.72 | $17.78 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Geisinger Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Martin's Point Setting Facility Modifier None Typical Low $10.72 Median $10.96 Typical High $30.90 | Facility | None | $10.72 | $10.96 | $30.90 |
Martin's Point Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | 55 · Aftercare only | $1.62 | $1.62 | $1.62 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.07 Typical High $1.07 | Professional | 56 · Pre-op care only | $1.07 | $1.07 | $1.07 |
UPMC Health Plan Setting Facility Modifier None Typical Low $10.23 Median $12.02 Typical High $28.84 | Facility | None | $10.23 | $12.02 | $28.84 |
UPMC Health Plan Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $12.02 | Professional | None | $10.23 | $10.23 | $12.02 |
United Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $14.79 | Professional | None | $10.47 | $10.47 | $14.79 |
Where Pennsylvania sits
The same service costs 1.7 times more in Arizona 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· 23rd of 51
$10.72
AZ $17.78NY $10.47
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.