How much rates vary
Facilitymedian $13 · 10th to 90th $11 to $40Professionalmedian $11 · 10th to 90th $11 to $17
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 $10.96 Median $16.98 Typical High $47.86 | Facility | None | $10.96 | $16.98 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $11.22 Typical High $19.95 | Professional | None | $10.96 | $11.22 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.50 Median $5.62 Typical High $5.62 | Professional | 52 · Reduced service | $5.50 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.24 Typical High $2.24 | Professional | 53 · Discontinued | $2.19 | $2.24 | $2.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.66 Median $1.66 Typical High $1.66 | Professional | 55 · Aftercare only | $1.66 | $1.66 | $1.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.10 Median $1.12 Typical High $1.12 | Professional | 56 · Pre-op care only | $1.10 | $1.12 | $1.12 |
Capital Blue Cross Setting Facility Modifier None Typical Low $10.47 Median $12.02 Typical High $14.13 | Facility | None | $10.47 | $12.02 | $14.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $12.02 | Professional | None | $11.48 | $11.48 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $18.62 Typical High $42.66 | Facility | None | $10.96 | $18.62 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
Geisinger Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
Geisinger Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $19.95 | Professional | None | $16.60 | $16.60 | $19.95 |
Highmark BCBS Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Martin's Point Setting Facility Modifier None Typical Low $10.96 Median $16.98 Typical High $30.90 | Facility | None | $10.96 | $16.98 | $30.90 |
Martin's Point Setting Professional Modifier None Typical Low $10.96 Median $11.22 Typical High $16.98 | Professional | None | $10.96 | $11.22 | $16.98 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $5.50 Median $5.62 Typical High $5.62 | Professional | 52 · Reduced service | $5.50 | $5.62 | $5.62 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.24 Typical High $2.24 | Professional | 53 · Discontinued | $2.19 | $2.24 | $2.24 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.66 Median $1.66 Typical High $1.66 | Professional | 55 · Aftercare only | $1.66 | $1.66 | $1.66 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.10 Median $1.12 Typical High $1.12 | Professional | 56 · Pre-op care only | $1.10 | $1.12 | $1.12 |
UPMC Health Plan Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $16.22 | Facility | None | $12.88 | $12.88 | $16.22 |
UPMC Health Plan Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $16.22 | Professional | None | $13.80 | $13.80 | $16.22 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
United Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $20.89 | Professional | None | $11.22 | $11.22 | $20.89 |
Where Pennsylvania sits
The same service costs 3.7 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· 45th of 51
$11.22
WY $40.74GA $10.96
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.