How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $4Professionalmedian $1 · 10th to 90th $1 to $1
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 $1.10 Median $1.55 Typical High $3.24 | Facility | None | $1.10 | $1.55 | $3.24 |
Aetna Setting Professional Modifier None Typical Low $1.10 Median $1.10 Typical High $1.10 | Professional | None | $1.10 | $1.10 | $1.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.55 Median $0.55 Typical High $0.55 | Professional | 52 · Reduced service | $0.55 | $0.55 | $0.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.22 Median $0.22 Typical High $0.22 | Professional | 53 · Discontinued | $0.22 | $0.22 | $0.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.16 Median $0.17 Typical High $0.17 | Professional | 55 · Aftercare only | $0.16 | $0.17 | $0.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.11 Typical High $0.11 | Professional | 56 · Pre-op care only | $0.11 | $0.11 | $0.11 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1.02 Median $1.17 Typical High $1.41 | Facility | None | $1.02 | $1.17 | $1.41 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | None | $1.12 | $1.12 | $1.12 |
Cigna Setting Facility Modifier None Typical Low $1.10 Median $1.82 Typical High $4.17 | Facility | None | $1.10 | $1.82 | $4.17 |
Cigna Setting Professional Modifier None Typical Low $1.10 Median $1.10 Typical High $1.10 | Professional | None | $1.10 | $1.10 | $1.10 |
Geisinger Setting Facility Modifier None Typical Low $1.10 Median $1.10 Typical High $1.10 | Facility | None | $1.10 | $1.10 | $1.10 |
Geisinger Setting Professional Modifier None Typical Low $1.62 Median $1.62 Typical High $1.95 | Professional | None | $1.62 | $1.62 | $1.95 |
Martin's Point Setting Facility Modifier None Typical Low $1.10 Median $3.09 Typical High $3.24 | Facility | None | $1.10 | $3.09 | $3.24 |
Martin's Point Setting Professional Modifier None Typical Low $1.10 Median $1.10 Typical High $1.10 | Professional | None | $1.10 | $1.10 | $1.10 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.55 Median $0.55 Typical High $0.55 | Professional | 52 · Reduced service | $0.55 | $0.55 | $0.55 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.22 Median $0.22 Typical High $0.22 | Professional | 53 · Discontinued | $0.22 | $0.22 | $0.22 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.16 Median $0.17 Typical High $0.17 | Professional | 55 · Aftercare only | $0.16 | $0.17 | $0.17 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.11 Typical High $0.11 | Professional | 56 · Pre-op care only | $0.11 | $0.11 | $0.11 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1.26 Median $1.26 Typical High $1.66 | Facility | None | $1.26 | $1.26 | $1.66 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1.45 Median $1.45 Typical High $1.66 | Professional | None | $1.45 | $1.45 | $1.66 |
United Setting Professional Modifier None Typical Low $1.02 Median $1.12 Typical High $1.86 | Professional | None | $1.02 | $1.12 | $1.86 |
Where Pennsylvania sits
The same service costs 2.7 times more in Wyoming than in New Jersey. 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· 37th of 51
$1.10
WY $2.95NJ $1.10
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.