How much rates vary
Facilitymedian $1,514 · 10th to 90th $13 to $8,511Professionalmedian $13 · 10th to 90th $11 to $30
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 $15.85 Median $4,897.79 Typical High $8,511.38 | Facility | None | $15.85 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $13.18 Typical High $15.85 | Professional | None | $11.75 | $13.18 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $7.24 Typical High $7.94 | Professional | 52 · Reduced service | $6.46 | $7.24 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.88 Typical High $3.24 | Professional | 53 · Discontinued | $2.57 | $2.88 | $3.24 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $9.77 Median $10.72 Typical High $12.02 | Professional | 54 · Surgery only | $9.77 | $10.72 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.95 Median $2.14 Typical High $2.40 | Professional | 55 · Aftercare only | $1.95 | $2.14 | $2.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.29 Median $1.45 Typical High $1.58 | Professional | 56 · Pre-op care only | $1.29 | $1.45 | $1.58 |
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 $12.88 Median $22.91 Typical High $33.88 | Professional | None | $12.88 | $22.91 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Emblem Health Setting Professional Modifier None Typical Low $15.85 Median $17.38 Typical High $20.42 | Professional | None | $15.85 | $17.38 | $20.42 |
Geisinger Setting Professional Modifier None Typical Low $11.75 Median $17.38 Typical High $33.88 | Professional | None | $11.75 | $17.38 | $33.88 |
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 $12.30 Median $13.18 Typical High $15.85 | Professional | None | $12.30 | $13.18 | $15.85 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $7.24 Typical High $7.94 | Professional | 52 · Reduced service | $6.46 | $7.24 | $7.94 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.88 Typical High $3.24 | Professional | 53 · Discontinued | $2.57 | $2.88 | $3.24 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $9.77 Median $10.72 Typical High $12.02 | Professional | 54 · Surgery only | $9.77 | $10.72 | $12.02 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.95 Median $2.14 Typical High $2.40 | Professional | 55 · Aftercare only | $1.95 | $2.14 | $2.40 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.29 Median $1.45 Typical High $1.58 | Professional | 56 · Pre-op care only | $1.29 | $1.45 | $1.58 |
Oscar Health Setting Professional Modifier None Typical Low $14.13 Median $29.51 Typical High $29.51 | Professional | None | $14.13 | $29.51 | $29.51 |
UPMC Health Plan Setting Facility Modifier None Typical Low $12.30 Median $380.19 Typical High $602.56 | Facility | None | $12.30 | $380.19 | $602.56 |
UPMC Health Plan Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $13.18 | Professional | None | $12.30 | $12.30 | $13.18 |
United Setting Professional Modifier None Typical Low $12.02 Median $14.13 Typical High $26.30 | Professional | None | $12.02 | $14.13 | $26.30 |
Where Pennsylvania sits
The same service costs 3.3 times more in Alaska than in Delaware. 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· 42nd of 51
$13.49
AK $37.15DE $11.22
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.