How much rates vary
Facilitymedian $22 · 10th to 90th $19 to $71Professionalmedian $19 · 10th to 90th $19 to $26
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 $19.50 Median $28.18 Typical High $48.98 | Facility | None | $19.50 | $28.18 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $23.99 | Professional | None | $19.50 | $19.50 | $23.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $9.77 Typical High $9.77 | Professional | 52 · Reduced service | $9.55 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 53 · Discontinued | $3.89 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.88 Median $2.95 Typical High $2.95 | Professional | 55 · Aftercare only | $2.88 | $2.95 | $2.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | 56 · Pre-op care only | $1.95 | $1.95 | $1.95 |
Capital Blue Cross Setting Facility Modifier None Typical Low $18.20 Median $20.89 Typical High $25.12 | Facility | None | $18.20 | $20.89 | $25.12 |
Capital Blue Cross Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $32.36 Typical High $74.13 | Facility | None | $19.50 | $32.36 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Geisinger Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Geisinger Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $34.67 | Professional | None | $28.84 | $28.84 | $34.67 |
Martin's Point Setting Facility Modifier None Typical Low $19.50 Median $28.18 Typical High $48.98 | Facility | None | $19.50 | $28.18 | $48.98 |
Martin's Point Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $26.30 | Professional | None | $19.50 | $19.50 | $26.30 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $9.77 Typical High $9.77 | Professional | 52 · Reduced service | $9.55 | $9.77 | $9.77 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 53 · Discontinued | $3.89 | $3.89 | $3.89 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2.88 Median $2.95 Typical High $2.95 | Professional | 55 · Aftercare only | $2.88 | $2.95 | $2.95 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | 56 · Pre-op care only | $1.95 | $1.95 | $1.95 |
UPMC Health Plan Setting Facility Modifier None Typical Low $16.98 Median $22.39 Typical High $23.44 | Facility | None | $16.98 | $22.39 | $23.44 |
UPMC Health Plan Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $19.50 | Professional | None | $16.98 | $16.98 | $19.50 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $26.30 | Professional | None | $18.62 | $18.62 | $26.30 |
Where Pennsylvania sits
The same service costs 1.9 times more in Alaska than in Rhode Island. 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· 37th of 51
$19.50
AK $34.67RI $18.62
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.