How much rates vary
Facilitymedian $36 · 10th to 90th $32 to $115Professionalmedian $32 · 10th to 90th $32 to $45
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 $31.62 Median $51.29 Typical High $102.33 | Facility | None | $31.62 | $51.29 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $6.31 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $4.68 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | 56 · Pre-op care only | $3.16 | $3.16 | $3.16 |
Capital Blue Cross Setting Facility Modifier None Typical Low $29.51 Median $33.88 Typical High $40.74 | Facility | None | $29.51 | $33.88 | $40.74 |
Capital Blue Cross Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $52.48 Typical High $120.23 | Facility | None | $31.62 | $52.48 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Geisinger Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Geisinger Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $56.23 | Professional | None | $46.77 | $46.77 | $56.23 |
Martin's Point Setting Facility Modifier None Typical Low $31.62 Median $89.13 Typical High $102.33 | Facility | None | $31.62 | $89.13 | $102.33 |
Martin's Point Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $15.85 | $15.85 | $15.85 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $6.31 | $6.31 | $6.31 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $4.68 | $4.79 | $4.79 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | 56 · Pre-op care only | $3.16 | $3.16 | $3.16 |
UPMC Health Plan Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $47.86 | Facility | None | $36.31 | $36.31 | $47.86 |
UPMC Health Plan Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $47.86 | Professional | None | $41.69 | $41.69 | $47.86 |
United Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $61.66 | Professional | None | $33.88 | $33.88 | $61.66 |
Where Pennsylvania sits
The same service costs 2.3 times more in Wyoming than in Georgia. 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· 33rd of 51
$33.88
WY $74.13GA $31.62
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.