How much rates vary
Facilitymedian $31 · 10th to 90th $27 to $98Professionalmedian $27 · 10th to 90th $27 to $41
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 $26.92 Median $40.74 Typical High $75.86 | Facility | None | $26.92 | $40.74 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $29.51 | Professional | None | $26.92 | $26.92 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $13.18 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $5.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $4.07 Typical High $4.07 | Professional | 55 · Aftercare only | $3.98 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $2.69 Typical High $2.69 | Professional | 56 · Pre-op care only | $2.63 | $2.69 | $2.69 |
Capital Blue Cross Setting Facility Modifier None Typical Low $24.55 Median $28.18 Typical High $33.88 | Facility | None | $24.55 | $28.18 | $33.88 |
Capital Blue Cross Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $28.18 | Professional | None | $26.92 | $26.92 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $44.67 Typical High $102.33 | Facility | None | $26.92 | $44.67 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Geisinger Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Geisinger Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $47.86 | Professional | None | $39.81 | $39.81 | $47.86 |
Highmark BCBS Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Martin's Point Setting Facility Modifier None Typical Low $26.92 Median $40.74 Typical High $72.44 | Facility | None | $26.92 | $40.74 | $72.44 |
Martin's Point Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $29.51 | Professional | None | $26.92 | $26.92 | $29.51 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $13.18 | $13.49 | $13.49 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $5.37 | $5.37 | $5.37 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $4.07 Typical High $4.07 | Professional | 55 · Aftercare only | $3.98 | $4.07 | $4.07 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $2.69 Typical High $2.69 | Professional | 56 · Pre-op care only | $2.63 | $2.69 | $2.69 |
UPMC Health Plan Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $52.48 | Facility | None | $30.90 | $30.90 | $52.48 |
UPMC Health Plan Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $52.48 | Professional | None | $45.71 | $45.71 | $52.48 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $48.98 | Professional | None | $26.92 | $26.92 | $48.98 |
Where Pennsylvania sits
The same service costs 2.9 times more in Wyoming than in Minnesota. 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· 42nd of 51
$26.92
WY $77.62MN $26.92
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.