How much rates vary
Facilitymedian $123 · 10th to 90th $13 to $5,012Professionalmedian $13 · 10th to 90th $11 to $78
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $11.48 Median $13.18 Typical High $1,862.09 | Facility | None | $11.48 | $13.18 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $12.30 Typical High $13.18 | Professional | None | $11.48 | $12.30 | $13.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $6.17 Typical High $6.61 | Professional | 52 · Reduced service | $5.75 | $6.17 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.45 Typical High $2.63 | Professional | 53 · Discontinued | $2.29 | $2.45 | $2.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.70 Median $1.86 Typical High $2.00 | Professional | 55 · Aftercare only | $1.70 | $1.86 | $2.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.23 Typical High $1.32 | Professional | 56 · Pre-op care only | $1.12 | $1.23 | $1.32 |
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 $13.49 Median $13.80 Typical High $13.80 | Professional | None | $13.49 | $13.80 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $11.75 Typical High $186.21 | Professional | None | $10.23 | $11.75 | $186.21 |
Emblem Health Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $25.70 | Professional | None | $18.62 | $18.62 | $25.70 |
Geisinger Setting Professional Modifier None Typical Low $13.49 Median $15.49 Typical High $17.78 | Professional | None | $13.49 | $15.49 | $17.78 |
Martin's Point Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $1,862.09 | Facility | None | $13.18 | $13.18 | $1,862.09 |
Martin's Point Setting Professional Modifier None Typical Low $11.48 Median $12.30 Typical High $13.18 | Professional | None | $11.48 | $12.30 | $13.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $6.17 Typical High $6.61 | Professional | 52 · Reduced service | $5.75 | $6.17 | $6.61 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.45 Typical High $2.63 | Professional | 53 · Discontinued | $2.29 | $2.45 | $2.63 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.70 Median $1.86 Typical High $2.00 | Professional | 55 · Aftercare only | $1.70 | $1.86 | $2.00 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.23 Typical High $1.32 | Professional | 56 · Pre-op care only | $1.12 | $1.23 | $1.32 |
Oscar Health Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
UPMC Health Plan Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
UPMC Health Plan Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $363.08 | Professional | None | $331.13 | $331.13 | $363.08 |
United Setting Facility Modifier None Typical Low $51.29 Median $109.65 Typical High $125.89 | Facility | None | $51.29 | $109.65 | $125.89 |
United Setting Professional Modifier None Typical Low $11.75 Median $14.13 Typical High $91.20 | Professional | None | $11.75 | $14.13 | $91.20 |
Where Pennsylvania sits
The same service costs 43.7 times more in Hawaii than in Florida. 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
$13.18
HI $447FL $10.23
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.