How much rates vary
Facilitymedian $48 · 10th to 90th $9 to $5,012Professionalmedian $40 · 10th to 90th $32 to $48
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 $37.15 Median $47.86 Typical High $47.86 | Facility | None | $37.15 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $47.86 | Professional | None | $37.15 | $37.15 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $18.62 Typical High $23.99 | Professional | 52 · Reduced service | $18.62 | $18.62 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $9.55 | Professional | 53 · Discontinued | $7.41 | $7.41 | $9.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $5.50 Typical High $7.24 | Professional | 55 · Aftercare only | $5.50 | $5.50 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $3.72 Typical High $4.79 | Professional | 56 · Pre-op care only | $3.72 | $3.72 | $4.79 |
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 $39.81 Median $41.69 Typical High $41.69 | Professional | None | $39.81 | $41.69 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Emblem Health Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $69.18 | Professional | None | $50.12 | $50.12 | $69.18 |
Geisinger Setting Professional Modifier None Typical Low $28.84 Median $40.74 Typical High $66.07 | Professional | None | $28.84 | $40.74 | $66.07 |
Martin's Point Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Martin's Point Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $47.86 | Professional | None | $37.15 | $37.15 | $47.86 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $18.62 Typical High $23.99 | Professional | 52 · Reduced service | $18.62 | $18.62 | $23.99 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $9.55 | Professional | 53 · Discontinued | $7.41 | $7.41 | $9.55 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $5.50 Typical High $7.24 | Professional | 55 · Aftercare only | $5.50 | $5.50 | $7.24 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $3.72 Typical High $4.79 | Professional | 56 · Pre-op care only | $3.72 | $3.72 | $4.79 |
Oscar Health Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $47.86 | Professional | None | $44.67 | $44.67 | $47.86 |
UPMC Health Plan Setting Facility Modifier None Typical Low $9.33 Median $24.55 Typical High $39.81 | Facility | None | $9.33 | $24.55 | $39.81 |
UPMC Health Plan Setting Professional Modifier None Typical Low $9.33 Median $30.20 Typical High $39.81 | Professional | None | $9.33 | $30.20 | $39.81 |
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 $26.30 Median $39.81 Typical High $45.71 | Professional | None | $26.30 | $39.81 | $45.71 |
Where Pennsylvania sits
The same service costs 12.9 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· 27th of 51
$39.81
HI $380KY $29.51
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.