How much rates vary
Facilitymedian $5 · 10th to 90th $5 to $17Professionalmedian $5 · 10th to 90th $4 to $5
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 $4.68 Median $6.76 Typical High $12.02 | Facility | None | $4.68 | $6.76 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | None | $4.68 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | 52 · Reduced service | $2.34 | $2.34 | $2.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $0.93 Typical High $0.93 | Professional | 53 · Discontinued | $0.93 | $0.93 | $0.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.71 Median $0.71 Typical High $0.71 | Professional | 55 · Aftercare only | $0.71 | $0.71 | $0.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.47 Median $0.47 Typical High $0.47 | Professional | 56 · Pre-op care only | $0.47 | $0.47 | $0.47 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4.47 Median $5.13 Typical High $6.03 | Facility | None | $4.47 | $5.13 | $6.03 |
Capital Blue Cross Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | None | $4.79 | $4.79 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $4.68 Median $7.76 Typical High $17.78 | Facility | None | $4.68 | $7.76 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | None | $4.68 | $4.68 | $4.68 |
Geisinger Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Facility | None | $4.68 | $4.68 | $4.68 |
Geisinger Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $8.32 | Professional | None | $7.08 | $7.08 | $8.32 |
Martin's Point Setting Facility Modifier None Typical Low $4.68 Median $6.76 Typical High $12.02 | Facility | None | $4.68 | $6.76 | $12.02 |
Martin's Point Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | None | $4.68 | $4.68 | $4.68 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | 52 · Reduced service | $2.34 | $2.34 | $2.34 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $0.93 Typical High $0.93 | Professional | 53 · Discontinued | $0.93 | $0.93 | $0.93 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.71 Median $0.71 Typical High $0.71 | Professional | 55 · Aftercare only | $0.71 | $0.71 | $0.71 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.47 Median $0.47 Typical High $0.47 | Professional | 56 · Pre-op care only | $0.47 | $0.47 | $0.47 |
UPMC Health Plan Setting Facility Modifier None Typical Low $4.17 Median $5.37 Typical High $5.75 | Facility | None | $4.17 | $5.37 | $5.75 |
UPMC Health Plan Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $4.79 | Professional | None | $4.17 | $4.17 | $4.79 |
United Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Facility | None | $4.68 | $4.68 | $4.68 |
United Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $6.46 | Professional | None | $4.47 | $4.47 | $6.46 |
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· 46th of 51
$4.68
AK $8.32RI $4.47
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.