How much rates vary
Facilitymedian $15 · 10th to 90th $2 to $5,012Professionalmedian $3 · 10th to 90th $2 to $5
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 $2.34 Median $2.34 Typical High $2.95 | Facility | None | $2.34 | $2.34 | $2.95 |
Aetna Setting Professional Modifier None Typical Low $2.34 Median $2.95 Typical High $2.95 | Professional | None | $2.34 | $2.95 | $2.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.17 Median $1.45 Typical High $1.45 | Professional | 52 · Reduced service | $1.17 | $1.45 | $1.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.47 Median $0.58 Typical High $0.58 | Professional | 53 · Discontinued | $0.47 | $0.58 | $0.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.35 Median $0.44 Typical High $0.44 | Professional | 55 · Aftercare only | $0.35 | $0.44 | $0.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.23 Median $0.28 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.23 | $0.28 | $0.28 |
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 $4.27 Median $4.79 Typical High $4.79 | Professional | None | $4.27 | $4.79 | $4.79 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | None | $2.00 | $2.00 | $2.00 |
Emblem Health Setting Professional Modifier None Typical Low $6.31 Median $7.08 Typical High $8.91 | Professional | None | $6.31 | $7.08 | $8.91 |
Geisinger Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Facility | None | $4.90 | $4.90 | $4.90 |
Geisinger Setting Professional Modifier None Typical Low $2.34 Median $2.51 Typical High $4.90 | Professional | None | $2.34 | $2.51 | $4.90 |
Martin's Point Setting Facility Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Facility | None | $2.34 | $2.34 | $2.34 |
Martin's Point Setting Professional Modifier None Typical Low $2.34 Median $2.95 Typical High $2.95 | Professional | None | $2.34 | $2.95 | $2.95 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.17 Median $1.45 Typical High $1.45 | Professional | 52 · Reduced service | $1.17 | $1.45 | $1.45 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.47 Median $0.58 Typical High $0.58 | Professional | 53 · Discontinued | $0.47 | $0.58 | $0.58 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.35 Median $0.44 Typical High $0.44 | Professional | 55 · Aftercare only | $0.35 | $0.44 | $0.44 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.23 Median $0.28 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.23 | $0.28 | $0.28 |
Oscar Health Setting Professional Modifier None Typical Low $4.79 Median $6.76 Typical High $7.24 | Professional | None | $4.79 | $6.76 | $7.24 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.39 Median $15.49 Typical High $26.30 | Facility | None | $3.39 | $15.49 | $26.30 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $4.57 | Professional | None | $3.39 | $3.39 | $4.57 |
United Setting Professional Modifier None Typical Low $2.04 Median $2.40 Typical High $3.39 | Professional | None | $2.04 | $2.40 | $3.39 |
Where Pennsylvania sits
The same service costs 2.6 times more in Hawaii than in Maine. 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· 21st of 51
$2.95
HI $5.13ME $2.00
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.