How much rates vary
Facilitymedian $117 · 10th to 90th $21 to $5,012Professionalmedian $27 · 10th to 90th $18 to $44
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 $21.38 Median $21.38 Typical High $26.92 | Facility | None | $21.38 | $21.38 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $26.92 Typical High $26.92 | Professional | None | $21.38 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $10.72 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $4.27 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $16.22 Median $19.95 Typical High $20.42 | Professional | 54 · Surgery only | $16.22 | $19.95 | $20.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $4.07 Typical High $4.07 | Professional | 55 · Aftercare only | $3.24 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $2.69 Typical High $2.69 | Professional | 56 · Pre-op care only | $2.14 | $2.69 | $2.69 |
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 $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Emblem Health Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $83.18 | Professional | None | $58.88 | $64.57 | $83.18 |
Geisinger Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Geisinger Setting Professional Modifier None Typical Low $26.92 Median $29.51 Typical High $50.12 | Professional | None | $26.92 | $29.51 | $50.12 |
Martin's Point Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Martin's Point Setting Professional Modifier None Typical Low $21.38 Median $26.92 Typical High $26.92 | Professional | None | $21.38 | $26.92 | $26.92 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $10.72 | $13.49 | $13.49 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $4.27 | $5.37 | $5.37 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $16.22 Median $19.95 Typical High $19.95 | Professional | 54 · Surgery only | $16.22 | $19.95 | $19.95 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $4.07 Typical High $4.07 | Professional | 55 · Aftercare only | $3.24 | $4.07 | $4.07 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $2.69 Typical High $2.69 | Professional | 56 · Pre-op care only | $2.14 | $2.69 | $2.69 |
Oscar Health Setting Professional Modifier None Typical Low $44.67 Median $97.72 Typical High $97.72 | Professional | None | $44.67 | $97.72 | $97.72 |
UPMC Health Plan Setting Facility Modifier None Typical Low $25.70 Median $117.49 Typical High $199.53 | Facility | None | $25.70 | $117.49 | $199.53 |
UPMC Health Plan Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $41.69 | Professional | None | $25.70 | $25.70 | $41.69 |
United Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $30.20 | Professional | None | $18.62 | $21.88 | $30.20 |
Where Pennsylvania sits
The same service costs 2.7 times more in Hawaii than in New York. 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· 30th of 51
$26.92
HI $47.86NY $17.78
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.