How much rates vary
Facilitymedian $3 · 10th to 90th $3 to $9Professionalmedian $3 · 10th to 90th $2 to $3
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 $2.51 Median $3.63 Typical High $6.46 | Facility | None | $2.51 | $3.63 | $6.46 |
Aetna Setting Professional Modifier None Typical Low $2.51 Median $2.57 Typical High $2.57 | Professional | None | $2.51 | $2.57 | $2.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.29 Median $1.29 Typical High $1.29 | Professional | 52 · Reduced service | $1.29 | $1.29 | $1.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.51 Median $0.51 Typical High $0.51 | Professional | 53 · Discontinued | $0.51 | $0.51 | $0.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.38 Median $0.39 Typical High $0.39 | Professional | 55 · Aftercare only | $0.38 | $0.39 | $0.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.26 Median $0.26 Typical High $0.26 | Professional | 56 · Pre-op care only | $0.26 | $0.26 | $0.26 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2.40 Median $2.75 Typical High $3.31 | Facility | None | $2.40 | $2.75 | $3.31 |
Capital Blue Cross Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | None | $2.63 | $2.63 | $2.63 |
Cigna Setting Facility Modifier None Typical Low $2.51 Median $4.27 Typical High $9.77 | Facility | None | $2.51 | $4.27 | $9.77 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | None | $2.51 | $2.51 | $2.51 |
Geisinger Setting Facility Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Facility | None | $2.57 | $2.57 | $2.57 |
Geisinger Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $4.57 | Professional | None | $3.80 | $3.80 | $4.57 |
Martin's Point Setting Facility Modifier None Typical Low $2.51 Median $3.63 Typical High $6.46 | Facility | None | $2.51 | $3.63 | $6.46 |
Martin's Point Setting Professional Modifier None Typical Low $2.51 Median $2.57 Typical High $2.57 | Professional | None | $2.51 | $2.57 | $2.57 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.29 Median $1.29 Typical High $1.29 | Professional | 52 · Reduced service | $1.29 | $1.29 | $1.29 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.51 Median $0.51 Typical High $0.51 | Professional | 53 · Discontinued | $0.51 | $0.51 | $0.51 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.38 Median $0.39 Typical High $0.39 | Professional | 55 · Aftercare only | $0.38 | $0.39 | $0.39 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.26 Median $0.26 Typical High $0.26 | Professional | 56 · Pre-op care only | $0.26 | $0.26 | $0.26 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $3.16 | Facility | None | $2.95 | $2.95 | $3.16 |
United Setting Facility Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Facility | None | $2.51 | $2.51 | $2.51 |
United Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $3.31 | Professional | None | $2.40 | $2.40 | $3.31 |
Where Pennsylvania sits
The same service costs 1.6 times more in Alaska than in Rhode Island. 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· 17th of 51
$2.57
AK $3.89RI $2.40
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.