How much rates vary
Facilitymedian $2 · 10th to 90th $2 to $8Professionalmedian $2 · 10th to 90th $2 to $2
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 $2.09 Median $2.51 Typical High $5.13 | Facility | None | $2.09 | $2.51 | $5.13 |
Aetna Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $2.09 | Professional | None | $2.09 | $2.09 | $2.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | 52 · Reduced service | $1.05 | $1.05 | $1.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.42 Median $0.42 Typical High $0.42 | Professional | 53 · Discontinued | $0.42 | $0.42 | $0.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1.55 Median $1.58 Typical High $1.58 | Professional | 54 · Surgery only | $1.55 | $1.58 | $1.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.31 Median $0.32 Typical High $0.32 | Professional | 55 · Aftercare only | $0.31 | $0.32 | $0.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.21 Typical High $0.21 | Professional | 56 · Pre-op care only | $0.21 | $0.21 | $0.21 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2.00 Median $2.24 Typical High $2.69 | Facility | None | $2.00 | $2.24 | $2.69 |
Capital Blue Cross Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Cigna Setting Facility Modifier None Typical Low $2.09 Median $3.47 Typical High $7.94 | Facility | None | $2.09 | $3.47 | $7.94 |
Cigna Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $2.09 | Professional | None | $2.09 | $2.09 | $2.09 |
Geisinger Setting Facility Modifier None Typical Low $2.09 Median $2.09 Typical High $2.09 | Facility | None | $2.09 | $2.09 | $2.09 |
Geisinger Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.72 | Professional | None | $3.09 | $3.09 | $3.72 |
Martin's Point Setting Facility Modifier None Typical Low $2.09 Median $2.95 Typical High $5.13 | Facility | None | $2.09 | $2.95 | $5.13 |
Martin's Point Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $2.09 | Professional | None | $2.09 | $2.09 | $2.09 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | 52 · Reduced service | $1.05 | $1.05 | $1.05 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.42 Median $0.42 Typical High $0.42 | Professional | 53 · Discontinued | $0.42 | $0.42 | $0.42 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $1.55 Median $1.58 Typical High $1.58 | Professional | 54 · Surgery only | $1.55 | $1.58 | $1.58 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.31 Median $0.32 Typical High $0.32 | Professional | 55 · Aftercare only | $0.31 | $0.32 | $0.32 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.21 Typical High $0.21 | Professional | 56 · Pre-op care only | $0.21 | $0.21 | $0.21 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1.74 Median $2.40 Typical High $2.51 | Facility | None | $1.74 | $2.40 | $2.51 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $2.04 | Professional | None | $1.74 | $1.74 | $2.04 |
United Setting Facility Modifier None Typical Low $2.09 Median $2.09 Typical High $2.09 | Facility | None | $2.09 | $2.09 | $2.09 |
United Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $2.69 | Professional | None | $1.95 | $1.95 | $2.69 |
Where Pennsylvania sits
The same service costs 1.6 times more in Alaska than in Iowa. 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· 16th of 51
$2.09
AK $3.09IA $1.95
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.