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 $2.14 Median $2.40 Typical High $5.50 | Facility | None | $2.14 | $2.40 | $5.50 |
Aetna Setting Professional Modifier None Typical Low $2.14 Median $2.19 Typical High $2.40 | Professional | None | $2.14 | $2.19 | $2.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.07 Median $1.10 Typical High $1.10 | Professional | 52 · Reduced service | $1.07 | $1.10 | $1.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.43 Median $0.43 Typical High $0.43 | Professional | 53 · Discontinued | $0.43 | $0.43 | $0.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.32 Median $0.33 Typical High $0.33 | Professional | 55 · Aftercare only | $0.32 | $0.33 | $0.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.22 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.22 | $0.22 | $0.22 |
Ambetter Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2.04 Median $2.34 Typical High $2.75 | Facility | None | $2.04 | $2.34 | $2.75 |
Capital Blue Cross Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Cigna Setting Facility Modifier None Typical Low $2.14 Median $3.63 Typical High $8.13 | Facility | None | $2.14 | $3.63 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Geisinger Setting Facility Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Facility | None | $2.14 | $2.14 | $2.14 |
Geisinger Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.89 | Professional | None | $3.24 | $3.24 | $3.89 |
Martin's Point Setting Facility Modifier None Typical Low $2.14 Median $3.24 Typical High $5.50 | Facility | None | $2.14 | $3.24 | $5.50 |
Martin's Point Setting Professional Modifier None Typical Low $2.14 Median $2.19 Typical High $2.40 | Professional | None | $2.14 | $2.19 | $2.40 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.07 Median $1.10 Typical High $1.10 | Professional | 52 · Reduced service | $1.07 | $1.10 | $1.10 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.43 Median $0.43 Typical High $0.43 | Professional | 53 · Discontinued | $0.43 | $0.43 | $0.43 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.32 Median $0.33 Typical High $0.33 | Professional | 55 · Aftercare only | $0.32 | $0.33 | $0.33 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.22 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.22 | $0.22 | $0.22 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1.78 Median $2.51 Typical High $2.63 | Facility | None | $1.78 | $2.51 | $2.63 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $2.09 | Professional | None | $1.78 | $1.78 | $2.09 |
United Setting Facility Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Facility | None | $2.14 | $2.14 | $2.14 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $3.47 | Professional | None | $2.14 | $2.14 | $3.47 |
Where Pennsylvania sits
The same service costs 1.6 times more in Arizona than in Mississippi. 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· 20th of 51
$2.19
AZ $3.39MS $2.14
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.