How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $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 $0.89 Median $1.07 Typical High $2.57 | Facility | None | $0.89 | $1.07 | $2.57 |
Aetna Setting Professional Modifier None Typical Low $0.89 Median $0.91 Typical High $0.91 | Professional | None | $0.89 | $0.91 | $0.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.14 Median $0.14 Typical High $0.14 | Professional | 55 · Aftercare only | $0.14 | $0.14 | $0.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | 56 · Pre-op care only | $0.09 | $0.09 | $0.09 |
Capital Blue Cross Setting Facility Modifier None Typical Low $0.85 Median $0.98 Typical High $1.15 | Facility | None | $0.85 | $0.98 | $1.15 |
Capital Blue Cross Setting Professional Modifier None Typical Low $0.93 Median $0.93 Typical High $0.93 | Professional | None | $0.93 | $0.93 | $0.93 |
Cigna Setting Facility Modifier None Typical Low $0.89 Median $1.51 Typical High $3.47 | Facility | None | $0.89 | $1.51 | $3.47 |
Cigna Setting Professional Modifier None Typical Low $0.89 Median $0.89 Typical High $0.89 | Professional | None | $0.89 | $0.89 | $0.89 |
Geisinger Setting Facility Modifier None Typical Low $0.89 Median $0.89 Typical High $0.89 | Facility | None | $0.89 | $0.89 | $0.89 |
Geisinger Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $1.62 | Professional | None | $1.35 | $1.35 | $1.62 |
Martin's Point Setting Facility Modifier None Typical Low $0.89 Median $1.55 Typical High $2.57 | Facility | None | $0.89 | $1.55 | $2.57 |
Martin's Point Setting Professional Modifier None Typical Low $0.89 Median $0.91 Typical High $0.91 | Professional | None | $0.89 | $0.91 | $0.91 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.14 Median $0.14 Typical High $0.14 | Professional | 55 · Aftercare only | $0.14 | $0.14 | $0.14 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | 56 · Pre-op care only | $0.09 | $0.09 | $0.09 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.63 Median $1.05 Typical High $1.10 | Facility | None | $0.63 | $1.05 | $1.10 |
UPMC Health Plan Setting Professional Modifier None Typical Low $0.63 Median $0.63 Typical High $0.72 | Professional | None | $0.63 | $0.63 | $0.72 |
United Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $1.86 | Professional | None | $1.02 | $1.02 | $1.86 |
Where Pennsylvania sits
The same service costs 2.3 times more in South Carolina than in North Dakota. 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· 48th of 51
$0.91
SC $2.09ND $0.89
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.