How much rates vary
Facilitymedian $14 · 10th to 90th $12 to $46Professionalmedian $12 · 10th to 90th $8 to $34
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 $11.75 Median $22.91 Typical High $67.61 | Facility | None | $11.75 | $22.91 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $12.30 Typical High $12.30 | Professional | None | $8.51 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $6.17 Typical High $6.17 | Professional | 52 · Reduced service | $4.27 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $2.51 Typical High $2.51 | Professional | 53 · Discontinued | $1.70 | $2.51 | $2.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.29 Median $1.86 Typical High $1.86 | Professional | 55 · Aftercare only | $1.29 | $1.86 | $1.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.85 Median $1.23 Typical High $1.23 | Professional | 56 · Pre-op care only | $0.85 | $1.23 | $1.23 |
Capital Blue Cross Setting Facility Modifier None Typical Low $11.75 Median $13.49 Typical High $15.85 | Facility | None | $11.75 | $13.49 | $15.85 |
Capital Blue Cross Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $20.42 Typical High $46.77 | Facility | None | $12.30 | $20.42 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.88 | Professional | None | $12.30 | $12.30 | $12.88 |
Emblem Health Setting Professional Modifier None Typical Low $10.72 Median $77.62 Typical High $107.15 | Professional | None | $10.72 | $77.62 | $107.15 |
Geisinger Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Geisinger Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $22.39 | Professional | None | $12.30 | $12.30 | $22.39 |
Martin's Point Setting Facility Modifier None Typical Low $11.75 Median $22.91 Typical High $67.61 | Facility | None | $11.75 | $22.91 | $67.61 |
Martin's Point Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 52 · Reduced service | $6.17 | $6.17 | $6.17 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.51 Typical High $2.51 | Professional | 53 · Discontinued | $2.45 | $2.51 | $2.51 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | 55 · Aftercare only | $1.86 | $1.86 | $1.86 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $1.23 Typical High $1.23 | Professional | 56 · Pre-op care only | $1.23 | $1.23 | $1.23 |
UPMC Health Plan Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $33.88 | Facility | None | $14.13 | $14.13 | $33.88 |
UPMC Health Plan Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $33.88 | Professional | None | $29.51 | $29.51 | $33.88 |
United Setting Professional Modifier None Typical Low $3.09 Median $7.76 Typical High $10.72 | Professional | None | $3.09 | $7.76 | $10.72 |
Where Pennsylvania sits
The same service costs 6.3 times more in Wyoming 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· 39th of 51
$12.30
WY $48.98RI $7.76
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.