How much rates vary
Facilitymedian $437 · 10th to 90th $8 to $8,318Professionalmedian $8 · 10th to 90th $7 to $15
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 $8.32 Median $3,801.89 Typical High $8,511.38 | Facility | None | $8.32 | $3,801.89 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $7.59 Typical High $8.32 | Professional | None | $7.41 | $7.59 | $8.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.72 Median $3.80 Typical High $4.07 | Professional | 52 · Reduced service | $3.72 | $3.80 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.51 Typical High $1.66 | Professional | 53 · Discontinued | $1.48 | $1.51 | $1.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $5.50 Median $5.62 Typical High $6.17 | Professional | 54 · Surgery only | $5.50 | $5.62 | $6.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.12 Median $1.12 Typical High $1.23 | Professional | 55 · Aftercare only | $1.12 | $1.12 | $1.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.74 Median $0.76 Typical High $0.81 | Professional | 56 · Pre-op care only | $0.74 | $0.76 | $0.81 |
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 $7.76 Median $7.94 Typical High $15.49 | Professional | None | $7.76 | $7.94 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $1.58 Median $3.09 Typical High $3.72 | Facility | None | $1.58 | $3.09 | $3.72 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $9.12 Typical High $14.45 | Professional | None | $7.41 | $9.12 | $14.45 |
Emblem Health Setting Professional Modifier None Typical Low $9.55 Median $12.02 Typical High $14.45 | Professional | None | $9.55 | $12.02 | $14.45 |
Geisinger Setting Professional Modifier None Typical Low $7.76 Median $10.96 Typical High $25.12 | Professional | None | $7.76 | $10.96 | $25.12 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $3,801.89 Typical High $8,709.64 | Facility | None | $537.03 | $3,801.89 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $7.41 Median $7.59 Typical High $8.32 | Professional | None | $7.41 | $7.59 | $8.32 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $3.72 Median $3.80 Typical High $4.07 | Professional | 52 · Reduced service | $3.72 | $3.80 | $4.07 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.51 Typical High $1.66 | Professional | 53 · Discontinued | $1.48 | $1.51 | $1.66 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $5.50 Median $5.62 Typical High $6.17 | Professional | 54 · Surgery only | $5.50 | $5.62 | $6.17 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.12 Median $1.12 Typical High $1.23 | Professional | 55 · Aftercare only | $1.12 | $1.12 | $1.23 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.74 Median $0.76 Typical High $0.81 | Professional | 56 · Pre-op care only | $0.74 | $0.76 | $0.81 |
Oscar Health Setting Professional Modifier None Typical Low $12.88 Median $30.20 Typical High $32.36 | Professional | None | $12.88 | $30.20 | $32.36 |
UPMC Health Plan Setting Facility Modifier None Typical Low $25.12 Median $53.70 Typical High $91.20 | Facility | None | $25.12 | $53.70 | $91.20 |
UPMC Health Plan Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
United Setting Facility Modifier None Typical Low $177.83 Median $380.19 Typical High $436.52 | Facility | None | $177.83 | $380.19 | $436.52 |
United Setting Professional Modifier None Typical Low $7.24 Median $8.13 Typical High $15.49 | Professional | None | $7.24 | $8.13 | $15.49 |
Where Pennsylvania sits
The same service costs 2.3 times more in Hawaii than in North Carolina. 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· 49th of 51
$7.94
HI $18.20NC $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.