How much rates vary
Facilitymedian $4 · 10th to 90th $3 to $13Professionalmedian $3 · 10th to 90th $3 to $4
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 $3.47 Median $4.90 Typical High $8.51 | Facility | None | $3.47 | $4.90 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | 52 · Reduced service | $1.74 | $1.74 | $1.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.71 Typical High $0.71 | Professional | 53 · Discontinued | $0.69 | $0.71 | $0.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | 55 · Aftercare only | $0.52 | $0.52 | $0.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.35 Median $0.35 Typical High $0.35 | Professional | 56 · Pre-op care only | $0.35 | $0.35 | $0.35 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3.31 Median $3.72 Typical High $4.47 | Facility | None | $3.31 | $3.72 | $4.47 |
Capital Blue Cross Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | None | $3.63 | $3.63 | $3.63 |
Cigna Setting Facility Modifier None Typical Low $3.47 Median $5.75 Typical High $13.18 | Facility | None | $3.47 | $5.75 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
Geisinger Setting Facility Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Facility | None | $3.47 | $3.47 | $3.47 |
Geisinger Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $6.17 | Professional | None | $5.25 | $5.25 | $6.17 |
Martin's Point Setting Facility Modifier None Typical Low $3.47 Median $4.90 Typical High $8.51 | Facility | None | $3.47 | $4.90 | $8.51 |
Martin's Point Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | 52 · Reduced service | $1.74 | $1.74 | $1.74 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.71 Typical High $0.71 | Professional | 53 · Discontinued | $0.69 | $0.71 | $0.71 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | 55 · Aftercare only | $0.52 | $0.52 | $0.52 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.35 Median $0.35 Typical High $0.35 | Professional | 56 · Pre-op care only | $0.35 | $0.35 | $0.35 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2.95 Median $3.98 Typical High $4.27 | Facility | None | $2.95 | $3.98 | $4.27 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $3.47 | Professional | None | $2.95 | $2.95 | $3.47 |
United Setting Facility Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Facility | None | $3.47 | $3.47 | $3.47 |
United Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $4.57 | Professional | None | $3.24 | $3.24 | $4.57 |
Where Pennsylvania sits
The same service costs 2.1 times more in Alaska than in Oklahoma. 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· 38th of 51
$3.47
AK $6.03OK $2.88
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.