How much rates vary
Facilitymedian $28 · 10th to 90th $28 to $437Professionalmedian $13 · 10th to 90th $11 to $47
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 $10.96 Median $11.48 Typical High $11.48 | Facility | None | $10.96 | $11.48 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $11.48 Typical High $11.75 | Professional | None | $10.96 | $11.48 | $11.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.50 Median $5.75 Typical High $5.75 | Professional | 52 · Reduced service | $5.50 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.29 Typical High $2.29 | Professional | 53 · Discontinued | $2.19 | $2.29 | $2.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.66 Median $1.74 Typical High $1.74 | Professional | 55 · Aftercare only | $1.66 | $1.74 | $1.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.10 Median $1.15 Typical High $1.15 | Professional | 56 · Pre-op care only | $1.10 | $1.15 | $1.15 |
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 $12.88 Median $12.88 Typical High $13.49 | Professional | None | $12.88 | $12.88 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $104.71 | Professional | None | $20.42 | $20.42 | $104.71 |
Geisinger Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $61.66 | Professional | None | $58.88 | $58.88 | $61.66 |
Martin's Point Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Martin's Point Setting Professional Modifier None Typical Low $10.96 Median $11.48 Typical High $11.75 | Professional | None | $10.96 | $11.48 | $11.75 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $5.50 Median $5.75 Typical High $5.75 | Professional | 52 · Reduced service | $5.50 | $5.75 | $5.75 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.29 Typical High $2.29 | Professional | 53 · Discontinued | $2.19 | $2.29 | $2.29 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.66 Median $1.74 Typical High $1.74 | Professional | 55 · Aftercare only | $1.66 | $1.74 | $1.74 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.10 Median $1.15 Typical High $1.15 | Professional | 56 · Pre-op care only | $1.10 | $1.15 | $1.15 |
Oscar Health Setting Professional Modifier None Typical Low $25.70 Median $51.29 Typical High $51.29 | Professional | None | $25.70 | $51.29 | $51.29 |
UPMC Health Plan Setting Facility Modifier None Typical Low $46.77 Median $229.09 Typical High $363.08 | Facility | None | $46.77 | $229.09 | $363.08 |
UPMC Health Plan Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
United Setting Professional Modifier None Typical Low $12.02 Median $14.45 Typical High $26.92 | Professional | None | $12.02 | $14.45 | $26.92 |
Where Pennsylvania sits
The same service costs 8.7 times more in Hawaii than in Kansas. 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· 50th of 51
$13.49
HI $85.11KS $9.77
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.