How much rates vary
Facilitymedian $44 · 10th to 90th $8 to $5,012Professionalmedian $10 · 10th to 90th $7 to $16
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 $7.94 Median $7.94 Typical High $10.00 | Facility | None | $7.94 | $7.94 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $10.00 Typical High $10.00 | Professional | None | $7.94 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.98 Median $5.01 Typical High $5.01 | Professional | 52 · Reduced service | $3.98 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $2.00 Typical High $2.00 | Professional | 53 · Discontinued | $1.58 | $2.00 | $2.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $6.03 Median $7.41 Typical High $7.59 | Professional | 54 · Surgery only | $6.03 | $7.41 | $7.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.20 Median $1.48 Typical High $1.51 | Professional | 55 · Aftercare only | $1.20 | $1.48 | $1.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.79 Median $1.00 Typical High $1.00 | Professional | 56 · Pre-op care only | $0.79 | $1.00 | $1.00 |
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 $14.45 Median $16.22 Typical High $16.22 | Professional | None | $14.45 | $16.22 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Emblem Health Setting Professional Modifier None Typical Low $21.88 Median $23.99 Typical High $30.20 | Professional | None | $21.88 | $23.99 | $30.20 |
Geisinger Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Geisinger Setting Professional Modifier None Typical Low $10.00 Median $10.72 Typical High $19.05 | Professional | None | $10.00 | $10.72 | $19.05 |
Martin's Point Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Martin's Point Setting Professional Modifier None Typical Low $7.94 Median $10.00 Typical High $10.00 | Professional | None | $7.94 | $10.00 | $10.00 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $3.98 Median $5.01 Typical High $5.01 | Professional | 52 · Reduced service | $3.98 | $5.01 | $5.01 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $2.00 Typical High $2.00 | Professional | 53 · Discontinued | $1.58 | $2.00 | $2.00 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $6.03 Median $7.41 Typical High $7.41 | Professional | 54 · Surgery only | $6.03 | $7.41 | $7.41 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.20 Median $1.48 Typical High $1.48 | Professional | 55 · Aftercare only | $1.20 | $1.48 | $1.48 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.79 Median $1.00 Typical High $1.00 | Professional | 56 · Pre-op care only | $0.79 | $1.00 | $1.00 |
Oscar Health Setting Professional Modifier None Typical Low $14.79 Median $53.70 Typical High $53.70 | Professional | None | $14.79 | $53.70 | $53.70 |
UPMC Health Plan Setting Facility Modifier None Typical Low $9.55 Median $43.65 Typical High $74.13 | Facility | None | $9.55 | $43.65 | $74.13 |
UPMC Health Plan Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $15.49 | Professional | None | $9.55 | $9.55 | $15.49 |
United Setting Professional Modifier None Typical Low $6.92 Median $8.13 Typical High $11.22 | Professional | None | $6.92 | $8.13 | $11.22 |
Where Pennsylvania sits
The same service costs 3.2 times more in Rhode Island 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
$10.00
RI $21.38NY $6.61
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.