How much rates vary
Facilitymedian $13 · 10th to 90th $5 to $34Professionalmedian $11 · 10th to 90th $9 to $15
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 $9.33 Median $10.72 Typical High $20.89 | Facility | None | $9.33 | $10.72 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $10.72 | Professional | None | $9.33 | $9.33 | $10.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $4.68 Typical High $5.37 | Professional | 52 · Reduced service | $4.68 | $4.68 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $2.19 | Professional | 53 · Discontinued | $1.86 | $1.86 | $2.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.41 Median $1.41 Typical High $1.62 | Professional | 55 · Aftercare only | $1.41 | $1.41 | $1.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.93 Median $0.93 Typical High $1.07 | Professional | 56 · Pre-op care only | $0.93 | $0.93 | $1.07 |
Capital Blue Cross Setting Facility Modifier None Typical Low $11.22 Median $12.88 Typical High $15.14 | Facility | None | $11.22 | $12.88 | $15.14 |
Capital Blue Cross Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $14.79 Typical High $33.88 | Facility | None | $8.91 | $14.79 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
Geisinger Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | None | $3.98 | $3.98 | $3.98 |
Martin's Point Setting Facility Modifier None Typical Low $10.72 Median $14.13 Typical High $20.89 | Facility | None | $10.72 | $14.13 | $20.89 |
Martin's Point Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $10.72 | Professional | None | $9.33 | $9.33 | $10.72 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $4.68 Typical High $5.37 | Professional | 52 · Reduced service | $4.68 | $4.68 | $5.37 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $2.19 | Professional | 53 · Discontinued | $1.86 | $1.86 | $2.19 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.41 Median $1.41 Typical High $1.62 | Professional | 55 · Aftercare only | $1.41 | $1.41 | $1.62 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.93 Median $0.93 Typical High $1.07 | Professional | 56 · Pre-op care only | $0.93 | $0.93 | $1.07 |
UPMC Health Plan Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $14.13 | Facility | None | $5.50 | $5.50 | $14.13 |
UPMC Health Plan Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
United Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $21.38 | Professional | None | $15.49 | $15.49 | $21.38 |
Where Pennsylvania sits
The same service costs 2.6 times more in Alaska than in Ohio. 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· 42nd of 51
$10.72
AK $23.44OH $9.12
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.