How much rates vary
Facilitymedian $8 · 10th to 90th $2 to $4,266Professionalmedian $1 · 10th to 90th $1 to $2
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 $1.20 Median $36.31 Typical High $48.98 | Facility | None | $1.20 | $36.31 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $1.20 Median $1.51 Typical High $1.74 | Professional | None | $1.20 | $1.51 | $1.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.60 Median $0.76 Typical High $0.76 | Professional | 52 · Reduced service | $0.60 | $0.76 | $0.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.24 Median $0.30 Typical High $0.30 | Professional | 53 · Discontinued | $0.24 | $0.30 | $0.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.18 Median $0.23 Typical High $0.23 | Professional | 55 · Aftercare only | $0.18 | $0.23 | $0.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.12 Median $0.15 Typical High $0.15 | Professional | 56 · Pre-op care only | $0.12 | $0.15 | $0.15 |
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 $2.19 Median $2.45 Typical High $2.45 | Professional | None | $2.19 | $2.45 | $2.45 |
Cigna Setting Facility Modifier None Typical Low $1.29 Median $1.29 Typical High $1.29 | Facility | None | $1.29 | $1.29 | $1.29 |
Cigna Setting Professional Modifier None Typical Low $1.02 Median $1.12 Typical High $1.12 | Professional | None | $1.02 | $1.12 | $1.12 |
Emblem Health Setting Professional Modifier None Typical Low $3.31 Median $3.63 Typical High $4.57 | Professional | None | $3.31 | $3.63 | $4.57 |
Geisinger Setting Facility Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Facility | None | $2.51 | $2.51 | $2.51 |
Geisinger Setting Professional Modifier None Typical Low $1.51 Median $1.62 Typical High $2.51 | Professional | None | $1.51 | $1.62 | $2.51 |
Highmark BCBS Setting Facility Modifier None Typical Low $4.47 Median $9.33 Typical High $11.75 | Facility | None | $4.47 | $9.33 | $11.75 |
Martin's Point Setting Facility Modifier None Typical Low $1.20 Median $36.31 Typical High $48.98 | Facility | None | $1.20 | $36.31 | $48.98 |
Martin's Point Setting Professional Modifier None Typical Low $1.20 Median $1.51 Typical High $1.55 | Professional | None | $1.20 | $1.51 | $1.55 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.60 Median $0.76 Typical High $0.76 | Professional | 52 · Reduced service | $0.60 | $0.76 | $0.76 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.24 Median $0.30 Typical High $0.30 | Professional | 53 · Discontinued | $0.24 | $0.30 | $0.30 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.18 Median $0.23 Typical High $0.23 | Professional | 55 · Aftercare only | $0.18 | $0.23 | $0.23 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.12 Median $0.15 Typical High $0.15 | Professional | 56 · Pre-op care only | $0.12 | $0.15 | $0.15 |
Oscar Health Setting Professional Modifier None Typical Low $2.51 Median $3.72 Typical High $6.46 | Professional | None | $2.51 | $3.72 | $6.46 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2.14 Median $6.76 Typical High $10.72 | Facility | None | $2.14 | $6.76 | $10.72 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.34 | Professional | None | $2.14 | $2.14 | $2.34 |
United Setting Professional Modifier None Typical Low $1.05 Median $1.23 Typical High $1.95 | Professional | None | $1.05 | $1.23 | $1.95 |
Where Pennsylvania sits
The same service costs 4.6 times more in Rhode Island than in Colorado. 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
$1.51
RI $4.79CO $1.05
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.