How much rates vary
Facilitymedian $2 · 10th to 90th $2 to $5Professionalmedian $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 $1.51 Median $2.29 Typical High $3.98 | Facility | None | $1.51 | $2.29 | $3.98 |
Aetna Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | None | $1.51 | $1.51 | $1.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.76 Median $0.78 Typical High $0.78 | Professional | 52 · Reduced service | $0.76 | $0.78 | $0.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.30 Median $0.31 Typical High $0.31 | Professional | 53 · Discontinued | $0.30 | $0.31 | $0.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.23 Median $0.23 Typical High $0.23 | Professional | 55 · Aftercare only | $0.23 | $0.23 | $0.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | 56 · Pre-op care only | $0.15 | $0.15 | $0.15 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1.45 Median $1.62 Typical High $1.95 | Facility | None | $1.45 | $1.62 | $1.95 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | None | $1.58 | $1.58 | $1.58 |
Cigna Setting Facility Modifier None Typical Low $1.51 Median $2.51 Typical High $5.75 | Facility | None | $1.51 | $2.51 | $5.75 |
Cigna Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | None | $1.51 | $1.51 | $1.51 |
Geisinger Setting Facility Modifier None Typical Low $1.51 Median $1.51 Typical High $1.51 | Facility | None | $1.51 | $1.51 | $1.51 |
Geisinger Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.69 | Professional | None | $2.29 | $2.29 | $2.69 |
Martin's Point Setting Facility Modifier None Typical Low $1.51 Median $2.63 Typical High $3.98 | Facility | None | $1.51 | $2.63 | $3.98 |
Martin's Point Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | None | $1.51 | $1.51 | $1.51 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.76 Median $0.78 Typical High $0.78 | Professional | 52 · Reduced service | $0.76 | $0.78 | $0.78 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.30 Median $0.31 Typical High $0.31 | Professional | 53 · Discontinued | $0.30 | $0.31 | $0.31 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.23 Median $0.23 Typical High $0.23 | Professional | 55 · Aftercare only | $0.23 | $0.23 | $0.23 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | 56 · Pre-op care only | $0.15 | $0.15 | $0.15 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1.51 Median $1.78 Typical High $1.86 | Facility | None | $1.51 | $1.78 | $1.86 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $1.74 | Professional | None | $1.51 | $1.51 | $1.74 |
United Setting Facility Modifier None Typical Low $1.51 Median $1.51 Typical High $1.51 | Facility | None | $1.51 | $1.51 | $1.51 |
United Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $2.09 | Professional | None | $1.51 | $1.51 | $2.09 |
Where Pennsylvania sits
The same service costs 1.7 times more in Arizona than in North Carolina. 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· 34th of 51
$1.51
AZ $2.57NC $1.51
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.