How much rates vary
Facilitymedian $4 · 10th to 90th $3 to $12Professionalmedian $3 · 10th to 90th $3 to $4
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 $3.24 Median $4.79 Typical High $8.51 | Facility | None | $3.24 | $4.79 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | None | $3.24 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | 52 · Reduced service | $1.62 | $1.62 | $1.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | 53 · Discontinued | $0.65 | $0.65 | $0.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | 54 · Surgery only | $2.45 | $2.45 | $2.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.49 Median $0.49 Typical High $0.49 | Professional | 55 · Aftercare only | $0.49 | $0.49 | $0.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.32 Median $0.33 Typical High $0.33 | Professional | 56 · Pre-op care only | $0.32 | $0.33 | $0.33 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3.09 Median $3.55 Typical High $4.17 | Facility | None | $3.09 | $3.55 | $4.17 |
Capital Blue Cross Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Cigna Setting Facility Modifier None Typical Low $3.24 Median $5.37 Typical High $12.30 | Facility | None | $3.24 | $5.37 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | None | $3.24 | $3.24 | $3.24 |
Geisinger Setting Facility Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Facility | None | $3.24 | $3.24 | $3.24 |
Geisinger Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $5.89 | Professional | None | $4.90 | $4.90 | $5.89 |
Martin's Point Setting Facility Modifier None Typical Low $3.24 Median $4.90 Typical High $8.51 | Facility | None | $3.24 | $4.90 | $8.51 |
Martin's Point Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | None | $3.24 | $3.24 | $3.24 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | 52 · Reduced service | $1.62 | $1.62 | $1.62 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | 53 · Discontinued | $0.65 | $0.65 | $0.65 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | 54 · Surgery only | $2.45 | $2.45 | $2.45 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.49 Median $0.49 Typical High $0.49 | Professional | 55 · Aftercare only | $0.49 | $0.49 | $0.49 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.32 Median $0.33 Typical High $0.33 | Professional | 56 · Pre-op care only | $0.32 | $0.33 | $0.33 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.24 Median $3.72 Typical High $3.98 | Facility | None | $3.24 | $3.72 | $3.98 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.72 | Professional | None | $3.24 | $3.24 | $3.72 |
United Setting Facility Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Facility | None | $3.24 | $3.24 | $3.24 |
United Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $4.47 | Professional | None | $3.24 | $3.24 | $4.47 |
Where Pennsylvania sits
The same service costs 1.7 times more in Arizona than in North Dakota. 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· 26th of 51
$3.24
AZ $5.50ND $3.24
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.