How much rates vary
Facilitymedian $17 · 10th to 90th $14 to $52Professionalmedian $14 · 10th to 90th $14 to $18
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 $14.45 Median $21.38 Typical High $31.62 | Facility | None | $14.45 | $21.38 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.79 Typical High $14.79 | Professional | None | $14.45 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 52 · Reduced service | $7.24 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.95 Typical High $2.95 | Professional | 53 · Discontinued | $2.88 | $2.95 | $2.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | 55 · Aftercare only | $2.19 | $2.19 | $2.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.45 Typical High $1.45 | Professional | 56 · Pre-op care only | $1.45 | $1.45 | $1.45 |
Capital Blue Cross Setting Facility Modifier None Typical Low $13.80 Median $15.85 Typical High $18.62 | Facility | None | $13.80 | $15.85 | $18.62 |
Capital Blue Cross Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $23.99 Typical High $54.95 | Facility | None | $14.45 | $23.99 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Geisinger Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Geisinger Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $26.30 | Professional | None | $21.88 | $21.88 | $26.30 |
Martin's Point Setting Facility Modifier None Typical Low $14.45 Median $30.90 Typical High $31.62 | Facility | None | $14.45 | $30.90 | $31.62 |
Martin's Point Setting Professional Modifier None Typical Low $14.45 Median $14.79 Typical High $14.79 | Professional | None | $14.45 | $14.79 | $14.79 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 52 · Reduced service | $7.24 | $7.24 | $7.24 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.95 Typical High $2.95 | Professional | 53 · Discontinued | $2.88 | $2.95 | $2.95 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | 55 · Aftercare only | $2.19 | $2.19 | $2.19 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.45 Typical High $1.45 | Professional | 56 · Pre-op care only | $1.45 | $1.45 | $1.45 |
UPMC Health Plan Setting Facility Modifier None Typical Low $15.85 Median $16.98 Typical High $19.50 | Facility | None | $15.85 | $16.98 | $19.50 |
UPMC Health Plan Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $18.20 | Professional | None | $15.85 | $15.85 | $18.20 |
United Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $26.30 | Professional | None | $14.13 | $14.13 | $26.30 |
Where Pennsylvania sits
The same service costs 2.0 times more in Wyoming 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· 22nd of 51
$14.79
WY $28.84OK $14.13
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.