How much rates vary
Facilitymedian $5 · 10th to 90th $4 to $16Professionalmedian $4 · 10th to 90th $4 to $5
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 $4.37 Median $5.13 Typical High $11.22 | Facility | None | $4.37 | $5.13 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.47 Typical High $4.47 | Professional | None | $4.37 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.19 Median $2.24 Typical High $2.24 | Professional | 52 · Reduced service | $2.19 | $2.24 | $2.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $0.89 Typical High $0.89 | Professional | 53 · Discontinued | $0.87 | $0.89 | $0.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.66 Median $0.66 Typical High $0.66 | Professional | 55 · Aftercare only | $0.66 | $0.66 | $0.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.44 Median $0.44 Typical High $0.44 | Professional | 56 · Pre-op care only | $0.44 | $0.44 | $0.44 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4.17 Median $4.79 Typical High $5.62 | Facility | None | $4.17 | $4.79 | $5.62 |
Capital Blue Cross Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | None | $4.57 | $4.57 | $4.57 |
Cigna Setting Facility Modifier None Typical Low $4.37 Median $7.41 Typical High $16.60 | Facility | None | $4.37 | $7.41 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | None | $4.37 | $4.37 | $4.37 |
Geisinger Setting Facility Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Facility | None | $4.37 | $4.37 | $4.37 |
Geisinger Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $7.94 | Professional | None | $6.61 | $6.61 | $7.94 |
Martin's Point Setting Facility Modifier None Typical Low $4.37 Median $6.46 Typical High $11.22 | Facility | None | $4.37 | $6.46 | $11.22 |
Martin's Point Setting Professional Modifier None Typical Low $4.37 Median $4.47 Typical High $4.47 | Professional | None | $4.37 | $4.47 | $4.47 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $2.19 Median $2.24 Typical High $2.24 | Professional | 52 · Reduced service | $2.19 | $2.24 | $2.24 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $0.89 Typical High $0.89 | Professional | 53 · Discontinued | $0.87 | $0.89 | $0.89 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.66 Median $0.66 Typical High $0.66 | Professional | 55 · Aftercare only | $0.66 | $0.66 | $0.66 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.44 Median $0.44 Typical High $0.44 | Professional | 56 · Pre-op care only | $0.44 | $0.44 | $0.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.80 Median $5.13 Typical High $5.37 | Facility | None | $3.80 | $5.13 | $5.37 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $4.37 | Professional | None | $3.80 | $3.80 | $4.37 |
United Setting Facility Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Facility | None | $4.37 | $4.37 | $4.37 |
United Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $6.46 | Professional | None | $4.27 | $4.27 | $6.46 |
Where Pennsylvania sits
The same service costs 2.7 times more in Alaska than in Oklahoma. 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· 44th of 51
$4.37
AK $7.94OK $2.95
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.