How much rates vary
Facilitymedian $26 · 10th to 90th $13 to $5,012Professionalmedian $16 · 10th to 90th $13 to $25
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 $13.18 Median $13.18 Typical High $16.22 | Facility | None | $13.18 | $13.18 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $16.22 Typical High $16.22 | Professional | None | $13.18 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $8.13 Typical High $8.13 | Professional | 52 · Reduced service | $6.46 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $3.24 Typical High $3.24 | Professional | 53 · Discontinued | $2.63 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.95 Median $2.45 Typical High $2.45 | Professional | 55 · Aftercare only | $1.95 | $2.45 | $2.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.32 Median $1.62 Typical High $1.62 | Professional | 56 · Pre-op care only | $1.32 | $1.62 | $1.62 |
AmeriHealth Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
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 $22.91 Median $25.12 Typical High $25.12 | Professional | None | $22.91 | $25.12 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Emblem Health Setting Professional Modifier None Typical Low $33.88 Median $37.15 Typical High $47.86 | Professional | None | $33.88 | $37.15 | $47.86 |
Geisinger Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Geisinger Setting Professional Modifier None Typical Low $13.49 Median $14.13 Typical High $25.70 | Professional | None | $13.49 | $14.13 | $25.70 |
Martin's Point Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Martin's Point Setting Professional Modifier None Typical Low $13.18 Median $16.22 Typical High $16.22 | Professional | None | $13.18 | $16.22 | $16.22 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $8.13 Typical High $8.13 | Professional | 52 · Reduced service | $6.46 | $8.13 | $8.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $3.24 Typical High $3.24 | Professional | 53 · Discontinued | $2.63 | $3.24 | $3.24 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.95 Median $2.45 Typical High $2.45 | Professional | 55 · Aftercare only | $1.95 | $2.45 | $2.45 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.32 Median $1.62 Typical High $1.62 | Professional | 56 · Pre-op care only | $1.32 | $1.62 | $1.62 |
Oscar Health Setting Professional Modifier None Typical Low $25.12 Median $26.30 Typical High $38.02 | Professional | None | $25.12 | $26.30 | $38.02 |
UPMC Health Plan Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $25.70 | Facility | None | $21.38 | $21.38 | $25.70 |
UPMC Health Plan Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $25.70 | Professional | None | $21.38 | $21.38 | $25.70 |
United Setting Professional Modifier None Typical Low $11.75 Median $13.18 Typical High $19.50 | Professional | None | $11.75 | $13.18 | $19.50 |
Where Pennsylvania sits
The same service costs 2.6 times more in Hawaii than in Kentucky. 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· 28th of 51
$16.22
HI $32.36KY $12.30
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.