How much rates vary
Facilitymedian $195 · 10th to 90th $50 to $4,898Professionalmedian $27 · 10th to 90th $15 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 $15.14 Median $3,630.78 Typical High $8,511.38 | Facility | None | $15.14 | $3,630.78 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $25.70 Typical High $28.18 | Professional | None | $14.79 | $25.70 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.41 Median $12.30 Typical High $14.13 | Professional | 52 · Reduced service | $7.41 | $12.30 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $4.90 Typical High $5.75 | Professional | 53 · Discontinued | $2.95 | $4.90 | $5.75 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $11.22 Median $18.20 Typical High $21.38 | Professional | 54 · Surgery only | $11.22 | $18.20 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.24 Median $3.63 Typical High $4.27 | Professional | 55 · Aftercare only | $2.24 | $3.63 | $4.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.48 Median $2.19 Typical High $2.82 | Professional | 56 · Pre-op care only | $1.48 | $2.19 | $2.82 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $56,234.13 | Facility | None | $1,202.26 | $1,412.54 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $89.13 | Professional | None | $29.51 | $29.51 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $100.00 Typical High $2,290.87 | Facility | None | $50.12 | $100.00 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $26.92 Typical High $54.95 | Professional | None | $15.14 | $26.92 | $54.95 |
Emblem Health Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Geisinger Setting Professional Modifier None Typical Low $25.12 Median $42.66 Typical High $72.44 | Professional | None | $25.12 | $42.66 | $72.44 |
Martin's Point Setting Facility Modifier None Typical Low $28.18 Median $3,630.78 Typical High $8,709.64 | Facility | None | $28.18 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $14.79 Median $26.92 Typical High $28.18 | Professional | None | $14.79 | $26.92 | $28.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $7.41 Median $10.96 Typical High $14.13 | Professional | 52 · Reduced service | $7.41 | $10.96 | $14.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $4.37 Typical High $5.75 | Professional | 53 · Discontinued | $2.95 | $4.37 | $5.75 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $11.22 Median $16.22 Typical High $21.38 | Professional | 54 · Surgery only | $11.22 | $16.22 | $21.38 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2.24 Median $3.24 Typical High $4.27 | Professional | 55 · Aftercare only | $2.24 | $3.24 | $4.27 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.48 Median $2.19 Typical High $2.82 | Professional | 56 · Pre-op care only | $1.48 | $2.19 | $2.82 |
Oscar Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $97.72 | Professional | None | $30.90 | $30.90 | $97.72 |
UPMC Health Plan Setting Facility Modifier None Typical Low $29.51 Median $169.82 Typical High $371.54 | Facility | None | $29.51 | $169.82 | $371.54 |
UPMC Health Plan Setting Professional Modifier None Typical Low $16.22 Median $29.51 Typical High $50.12 | Professional | None | $16.22 | $29.51 | $50.12 |
United Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $1,230.27 | Facility | None | $70.79 | $141.25 | $1,230.27 |
United Setting Professional Modifier None Typical Low $15.85 Median $33.11 Typical High $63.10 | Professional | None | $15.85 | $33.11 | $63.10 |
Where Pennsylvania sits
The same service costs 3.9 times more in Alaska than in Hawaii. 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· 47th of 51
$28.18
AK $85.11HI $21.88
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.