How much rates vary
Facilitymedian $4 · 10th to 90th $4 to $13Professionalmedian $4 · 10th to 90th $4 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 $3.72 Median $5.25 Typical High $9.55 | Facility | None | $3.72 | $5.25 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | None | $3.72 | $3.72 | $3.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | 52 · Reduced service | $1.86 | $1.86 | $1.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.74 Median $0.76 Typical High $0.76 | Professional | 53 · Discontinued | $0.74 | $0.76 | $0.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.56 Median $0.56 Typical High $0.56 | Professional | 55 · Aftercare only | $0.56 | $0.56 | $0.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.37 Median $0.38 Typical High $0.38 | Professional | 56 · Pre-op care only | $0.37 | $0.38 | $0.38 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3.55 Median $4.07 Typical High $4.79 | Facility | None | $3.55 | $4.07 | $4.79 |
Capital Blue Cross Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | None | $3.89 | $3.89 | $3.89 |
Cigna Setting Facility Modifier None Typical Low $3.72 Median $6.17 Typical High $14.13 | Facility | None | $3.72 | $6.17 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | None | $3.72 | $3.72 | $3.72 |
Geisinger Setting Facility Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Facility | None | $3.72 | $3.72 | $3.72 |
Geisinger Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $6.61 | Professional | None | $5.62 | $5.62 | $6.61 |
Martin's Point Setting Facility Modifier None Typical Low $3.72 Median $5.37 Typical High $9.55 | Facility | None | $3.72 | $5.37 | $9.55 |
Martin's Point Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | None | $3.72 | $3.72 | $3.72 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | 52 · Reduced service | $1.86 | $1.86 | $1.86 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.74 Median $0.76 Typical High $0.76 | Professional | 53 · Discontinued | $0.74 | $0.76 | $0.76 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.56 Median $0.56 Typical High $0.56 | Professional | 55 · Aftercare only | $0.56 | $0.56 | $0.56 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.37 Median $0.38 Typical High $0.38 | Professional | 56 · Pre-op care only | $0.37 | $0.38 | $0.38 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.39 Median $4.27 Typical High $4.57 | Facility | None | $3.39 | $4.27 | $4.57 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.89 | Professional | None | $3.39 | $3.39 | $3.89 |
United Setting Facility Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Facility | None | $3.72 | $3.72 | $3.72 |
United Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $4.90 | Professional | None | $3.55 | $3.55 | $4.90 |
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
$3.72
AK $6.61RI $3.55
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.