How much rates vary
Facilitymedian $49 · 10th to 90th $43 to $155Professionalmedian $43 · 10th to 90th $41 to $49
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 $42.66 Median $61.66 Typical High $107.15 | Facility | None | $42.66 | $61.66 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.51 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 55 · Aftercare only | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | 56 · Pre-op care only | $4.27 | $4.27 | $4.27 |
Capital Blue Cross Setting Facility Modifier None Typical Low $40.74 Median $46.77 Typical High $54.95 | Facility | None | $40.74 | $46.77 | $54.95 |
Capital Blue Cross Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $46.77 | Professional | None | $44.67 | $44.67 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $70.79 Typical High $162.18 | Facility | None | $42.66 | $70.79 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Geisinger Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Geisinger Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $77.62 | Professional | None | $64.57 | $64.57 | $77.62 |
Martin's Point Setting Facility Modifier None Typical Low $42.66 Median $70.79 Typical High $107.15 | Facility | None | $42.66 | $70.79 | $107.15 |
Martin's Point Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $21.38 | $21.38 | $21.38 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.51 | $8.71 | $8.71 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 55 · Aftercare only | $6.46 | $6.46 | $6.46 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | 56 · Pre-op care only | $4.27 | $4.27 | $4.27 |
UPMC Health Plan Setting Facility Modifier None Typical Low $41.69 Median $48.98 Typical High $52.48 | Facility | None | $41.69 | $48.98 | $52.48 |
UPMC Health Plan Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $48.98 | Professional | None | $41.69 | $41.69 | $48.98 |
United Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
United Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $56.23 | Professional | None | $40.74 | $40.74 | $56.23 |
Where Pennsylvania sits
The same service costs 1.7 times more in Arizona than in Maryland. 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· 25th of 51
$42.66
AZ $70.79MD $40.74
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.