How much rates vary
Facilitymedian $3 · 10th to 90th $2 to $9Professionalmedian $2 · 10th to 90th $2 to $2
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 $2.24 Median $2.24 Typical High $3.55 | Facility | None | $2.24 | $2.24 | $3.55 |
Aetna Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | 52 · Reduced service | $1.12 | $1.12 | $1.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.45 Median $0.45 Typical High $0.45 | Professional | 53 · Discontinued | $0.45 | $0.45 | $0.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.34 Median $0.34 Typical High $0.34 | Professional | 55 · Aftercare only | $0.34 | $0.34 | $0.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.22 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.22 | $0.22 | $0.22 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1.86 Median $2.09 Typical High $5,011.87 | Facility | None | $1.86 | $2.09 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $2.09 | Professional | None | $2.09 | $2.09 | $2.09 |
Cigna Setting Facility Modifier None Typical Low $2.24 Median $3.72 Typical High $8.51 | Facility | None | $2.24 | $3.72 | $8.51 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Geisinger Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Facility | None | $3.02 | $3.02 | $3.02 |
Martin's Point Setting Facility Modifier None Typical Low $2.24 Median $3.39 Typical High $3.55 | Facility | None | $2.24 | $3.39 | $3.55 |
Martin's Point Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | 52 · Reduced service | $1.12 | $1.12 | $1.12 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.45 Median $0.45 Typical High $0.45 | Professional | 53 · Discontinued | $0.45 | $0.45 | $0.45 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.34 Median $0.34 Typical High $0.34 | Professional | 55 · Aftercare only | $0.34 | $0.34 | $0.34 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.22 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.22 | $0.22 | $0.22 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2.24 Median $2.24 Typical High $5.75 | Facility | None | $2.24 | $2.24 | $5.75 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
United Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $3.09 | Professional | None | $2.24 | $2.24 | $3.09 |
Where Pennsylvania sits
The same service costs 128.8 times more in Kansas than in New York. 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· 29th of 51
$2.24
KS $7.76NY $0.06
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.