How much rates vary
Facilitymedian $4 · 10th to 90th $3 to $11Professionalmedian $3 · 10th to 90th $3 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 $3.02 Median $5.01 Typical High $9.55 | Facility | None | $3.02 | $5.01 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.09 Typical High $3.39 | Professional | None | $3.02 | $3.09 | $3.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $1.55 Typical High $1.55 | Professional | 52 · Reduced service | $1.51 | $1.55 | $1.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.62 Typical High $0.62 | Professional | 53 · Discontinued | $0.62 | $0.62 | $0.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.46 Median $0.46 Typical High $0.46 | Professional | 55 · Aftercare only | $0.46 | $0.46 | $0.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.30 Median $0.31 Typical High $0.31 | Professional | 56 · Pre-op care only | $0.30 | $0.31 | $0.31 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2.88 Median $3.31 Typical High $3.89 | Facility | None | $2.88 | $3.31 | $3.89 |
Capital Blue Cross Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | None | $3.16 | $3.16 | $3.16 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $5.13 Typical High $11.75 | Facility | None | $3.02 | $5.13 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
Geisinger Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Facility | None | $3.02 | $3.02 | $3.02 |
Geisinger Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $5.50 | Professional | None | $4.57 | $4.57 | $5.50 |
Martin's Point Setting Facility Modifier None Typical Low $3.02 Median $5.01 Typical High $9.55 | Facility | None | $3.02 | $5.01 | $9.55 |
Martin's Point Setting Professional Modifier None Typical Low $3.02 Median $3.09 Typical High $3.39 | Professional | None | $3.02 | $3.09 | $3.39 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $1.55 Typical High $1.55 | Professional | 52 · Reduced service | $1.51 | $1.55 | $1.55 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.62 Typical High $0.62 | Professional | 53 · Discontinued | $0.62 | $0.62 | $0.62 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.46 Median $0.46 Typical High $0.46 | Professional | 55 · Aftercare only | $0.46 | $0.46 | $0.46 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.30 Median $0.31 Typical High $0.31 | Professional | 56 · Pre-op care only | $0.30 | $0.31 | $0.31 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $10.96 | Facility | None | $3.55 | $3.55 | $10.96 |
UPMC Health Plan Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $10.96 | Professional | None | $9.33 | $9.33 | $10.96 |
United Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Facility | None | $3.02 | $3.02 | $3.02 |
United Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $6.03 | Professional | None | $3.24 | $3.24 | $6.03 |
Where Pennsylvania sits
The same service costs 6.0 times more in Wyoming than in Georgia. 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
$3.24
WY $18.20GA $3.02
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.