How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $5Professionalmedian $1 · 10th to 90th $1 to $1
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 $1.26 Median $1.91 Typical High $2.95 | Facility | None | $1.26 | $1.91 | $2.95 |
Aetna Setting Professional Modifier None Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | None | $1.26 | $1.26 | $1.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.63 Median $0.63 Typical High $0.63 | Professional | 52 · Reduced service | $0.63 | $0.63 | $0.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.25 Median $0.25 Typical High $0.25 | Professional | 53 · Discontinued | $0.25 | $0.25 | $0.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.19 Median $0.19 Typical High $0.19 | Professional | 55 · Aftercare only | $0.19 | $0.19 | $0.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | 56 · Pre-op care only | $0.13 | $0.13 | $0.13 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1.17 Median $1.35 Typical High $1.58 | Facility | None | $1.17 | $1.35 | $1.58 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1.29 Median $1.29 Typical High $1.29 | Professional | None | $1.29 | $1.29 | $1.29 |
Cigna Setting Facility Modifier None Typical Low $1.26 Median $2.09 Typical High $4.79 | Facility | None | $1.26 | $2.09 | $4.79 |
Cigna Setting Professional Modifier None Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | None | $1.26 | $1.26 | $1.26 |
Geisinger Setting Facility Modifier None Typical Low $1.26 Median $1.26 Typical High $1.26 | Facility | None | $1.26 | $1.26 | $1.26 |
Geisinger Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $2.24 | Professional | None | $1.86 | $1.86 | $2.24 |
Martin's Point Setting Facility Modifier None Typical Low $1.26 Median $2.14 Typical High $2.95 | Facility | None | $1.26 | $2.14 | $2.95 |
Martin's Point Setting Professional Modifier None Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | None | $1.26 | $1.26 | $1.26 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.63 Median $0.63 Typical High $0.63 | Professional | 52 · Reduced service | $0.63 | $0.63 | $0.63 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.25 Median $0.25 Typical High $0.25 | Professional | 53 · Discontinued | $0.25 | $0.25 | $0.25 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.19 Median $0.19 Typical High $0.19 | Professional | 55 · Aftercare only | $0.19 | $0.19 | $0.19 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | 56 · Pre-op care only | $0.13 | $0.13 | $0.13 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1.10 Median $1.45 Typical High $1.51 | Facility | None | $1.10 | $1.45 | $1.51 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1.10 Median $1.10 Typical High $1.29 | Professional | None | $1.10 | $1.10 | $1.29 |
United Setting Facility Modifier None Typical Low $1.26 Median $1.26 Typical High $1.26 | Facility | None | $1.26 | $1.26 | $1.26 |
United Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $1.91 | Professional | None | $1.38 | $1.38 | $1.91 |
Where Pennsylvania sits
The same service costs 1.7 times more in Arizona than in Oklahoma. 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· 44th of 51
$1.26
AZ $2.14OK $1.26
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.