How much rates vary
Facilitymedian $3 · 10th to 90th $2 to $8Professionalmedian $2 · 10th to 90th $2 to $3
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 $2.29 Median $3.39 Typical High $5.89 | Facility | None | $2.29 | $3.39 | $5.89 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | None | $2.29 | $2.29 | $2.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.15 Median $1.15 Typical High $1.15 | Professional | 52 · Reduced service | $1.15 | $1.15 | $1.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.46 Median $0.46 Typical High $0.46 | Professional | 53 · Discontinued | $0.46 | $0.46 | $0.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.35 Median $0.35 Typical High $0.35 | Professional | 55 · Aftercare only | $0.35 | $0.35 | $0.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.23 Median $0.23 Typical High $0.23 | Professional | 56 · Pre-op care only | $0.23 | $0.23 | $0.23 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2.19 Median $2.51 Typical High $2.95 | Facility | None | $2.19 | $2.51 | $2.95 |
Capital Blue Cross Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | None | $2.40 | $2.40 | $2.40 |
Cigna Setting Facility Modifier None Typical Low $2.29 Median $3.80 Typical High $8.71 | Facility | None | $2.29 | $3.80 | $8.71 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | None | $2.29 | $2.29 | $2.29 |
Geisinger Setting Facility Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Facility | None | $2.29 | $2.29 | $2.29 |
Geisinger Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $4.17 | Professional | None | $3.47 | $3.47 | $4.17 |
Martin's Point Setting Facility Modifier None Typical Low $2.29 Median $3.39 Typical High $5.89 | Facility | None | $2.29 | $3.39 | $5.89 |
Martin's Point Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | None | $2.29 | $2.29 | $2.29 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.15 Median $1.15 Typical High $1.15 | Professional | 52 · Reduced service | $1.15 | $1.15 | $1.15 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.46 Median $0.46 Typical High $0.46 | Professional | 53 · Discontinued | $0.46 | $0.46 | $0.46 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.35 Median $0.35 Typical High $0.35 | Professional | 55 · Aftercare only | $0.35 | $0.35 | $0.35 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.23 Median $0.23 Typical High $0.23 | Professional | 56 · Pre-op care only | $0.23 | $0.23 | $0.23 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2.04 Median $2.63 Typical High $2.82 | Facility | None | $2.04 | $2.63 | $2.82 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.34 | Professional | None | $2.04 | $2.04 | $2.34 |
United Setting Facility Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Facility | None | $2.29 | $2.29 | $2.29 |
United Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $3.39 | Professional | None | $2.24 | $2.24 | $3.39 |
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· 31st of 51
$2.29
AK $4.17RI $2.24
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.