How much rates vary
Facilitymedian $120 · 10th to 90th $1 to $5,012Professionalmedian $48 · 10th to 90th $1 to $50
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 $0.87 Median $0.87 Typical High $1.58 | Facility | None | $0.87 | $0.87 | $1.58 |
Aetna Setting Professional Modifier None Typical Low $0.87 Median $0.87 Typical High $0.87 | Professional | None | $0.87 | $0.87 | $0.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.44 Median $0.44 Typical High $0.44 | Professional | 52 · Reduced service | $0.44 | $0.44 | $0.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | 53 · Discontinued | $0.17 | $0.17 | $0.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | 55 · Aftercare only | $0.13 | $0.13 | $0.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | 56 · Pre-op care only | $0.09 | $0.09 | $0.09 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $50.12 | Professional | None | $44.67 | $47.86 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Martin's Point Setting Facility Modifier None Typical Low $0.87 Median $0.87 Typical High $1.58 | Facility | None | $0.87 | $0.87 | $1.58 |
Martin's Point Setting Professional Modifier None Typical Low $0.87 Median $0.87 Typical High $0.87 | Professional | None | $0.87 | $0.87 | $0.87 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.44 Median $0.44 Typical High $0.44 | Professional | 52 · Reduced service | $0.44 | $0.44 | $0.44 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | 53 · Discontinued | $0.17 | $0.17 | $0.17 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | 55 · Aftercare only | $0.13 | $0.13 | $0.13 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | 56 · Pre-op care only | $0.09 | $0.09 | $0.09 |
UPMC Health Plan Setting Facility Modifier None Typical Low $74.13 Median $102.33 Typical High $165.96 | Facility | None | $74.13 | $102.33 | $165.96 |
United Setting Facility Modifier None Typical Low $75.86 Median $162.18 Typical High $186.21 | Facility | None | $75.86 | $162.18 | $186.21 |
Where Pennsylvania sits
The same service costs 173.8 times more in Missouri than in Illinois. 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· 16th of 51
$47.86
MO $141IL $0.81
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.