How much rates vary
Facilitymedian $2 · 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 $1.17 Median $1.17 Typical High $1.78 | Facility | None | $1.17 | $1.17 | $1.78 |
Aetna Setting Professional Modifier None Typical Low $1.17 Median $1.17 Typical High $1.26 | Professional | None | $1.17 | $1.17 | $1.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.59 Median $0.59 Typical High $0.59 | Professional | 52 · Reduced service | $0.59 | $0.59 | $0.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.23 Median $0.23 Typical High $0.23 | Professional | 53 · Discontinued | $0.23 | $0.23 | $0.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | 55 · Aftercare only | $0.18 | $0.18 | $0.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.12 Median $0.12 Typical High $0.12 | Professional | 56 · Pre-op care only | $0.12 | $0.12 | $0.12 |
Cigna Setting Facility Modifier None Typical Low $1.17 Median $1.95 Typical High $4.47 | Facility | None | $1.17 | $1.95 | $4.47 |
Cigna Setting Professional Modifier None Typical Low $1.17 Median $1.17 Typical High $1.17 | Professional | None | $1.17 | $1.17 | $1.17 |
Martin's Point Setting Facility Modifier None Typical Low $1.17 Median $1.17 Typical High $1.78 | Facility | None | $1.17 | $1.17 | $1.78 |
Martin's Point Setting Professional Modifier None Typical Low $1.17 Median $1.17 Typical High $1.26 | Professional | None | $1.17 | $1.17 | $1.26 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.59 Median $0.59 Typical High $0.59 | Professional | 52 · Reduced service | $0.59 | $0.59 | $0.59 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.23 Median $0.23 Typical High $0.23 | Professional | 53 · Discontinued | $0.23 | $0.23 | $0.23 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | 55 · Aftercare only | $0.18 | $0.18 | $0.18 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.12 Median $0.12 Typical High $0.12 | Professional | 56 · Pre-op care only | $0.12 | $0.12 | $0.12 |
United Setting Professional Modifier None Typical Low $1.15 Median $1.15 Typical High $2.09 | Professional | None | $1.15 | $1.15 | $2.09 |
Where Pennsylvania sits
The same service costs 1.7 times more in Alaska than in Hawaii. 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· 20th of 51
$1.17
AK $1.86HI $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.