How much rates vary
Facilitymedian $2 · 10th to 90th $2 to $6Professionalmedian $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 $1.74 Median $2.51 Typical High $4.47 | Facility | None | $1.74 | $2.51 | $4.47 |
Aetna Setting Professional Modifier None Typical Low $1.74 Median $1.78 Typical High $1.78 | Professional | None | $1.74 | $1.78 | $1.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.87 Median $0.87 Typical High $0.87 | Professional | 52 · Reduced service | $0.87 | $0.87 | $0.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.35 Median $0.35 Typical High $0.35 | Professional | 53 · Discontinued | $0.35 | $0.35 | $0.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.26 Median $0.26 Typical High $0.26 | Professional | 55 · Aftercare only | $0.26 | $0.26 | $0.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | 56 · Pre-op care only | $0.18 | $0.18 | $0.18 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1.66 Median $1.91 Typical High $2.24 | Facility | None | $1.66 | $1.91 | $2.24 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | None | $1.82 | $1.82 | $1.82 |
Cigna Setting Facility Modifier None Typical Low $1.74 Median $2.95 Typical High $6.76 | Facility | None | $1.74 | $2.95 | $6.76 |
Cigna Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | None | $1.74 | $1.74 | $1.74 |
Geisinger Setting Facility Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Facility | None | $1.74 | $1.74 | $1.74 |
Geisinger Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $3.16 | Professional | None | $2.63 | $2.63 | $3.16 |
Martin's Point Setting Facility Modifier None Typical Low $1.74 Median $2.57 Typical High $4.47 | Facility | None | $1.74 | $2.57 | $4.47 |
Martin's Point Setting Professional Modifier None Typical Low $1.74 Median $1.78 Typical High $1.78 | Professional | None | $1.74 | $1.78 | $1.78 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.87 Median $0.87 Typical High $0.87 | Professional | 52 · Reduced service | $0.87 | $0.87 | $0.87 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.35 Median $0.35 Typical High $0.35 | Professional | 53 · Discontinued | $0.35 | $0.35 | $0.35 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.26 Median $0.26 Typical High $0.26 | Professional | 55 · Aftercare only | $0.26 | $0.26 | $0.26 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | 56 · Pre-op care only | $0.18 | $0.18 | $0.18 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1.58 Median $2.04 Typical High $2.14 | Facility | None | $1.58 | $2.04 | $2.14 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $1.82 | Professional | None | $1.58 | $1.58 | $1.82 |
United Setting Facility Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Facility | None | $1.74 | $1.74 | $1.74 |
United Setting Professional Modifier None Typical Low $1.70 Median $1.70 Typical High $2.34 | Professional | None | $1.70 | $1.70 | $2.34 |
Where Pennsylvania sits
The same service costs 1.7 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· 18th of 51
$1.78
AZ $2.82MS $1.70
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.