How much rates vary
Facilitymedian $98 · 10th to 90th $18 to $5,012Professionalmedian $22 · 10th to 90th $15 to $36
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 $17.78 Median $17.78 Typical High $22.39 | Facility | None | $17.78 | $17.78 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $22.39 Typical High $52.48 | Professional | None | $17.78 | $22.39 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $8.91 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $4.47 Typical High $4.47 | Professional | 53 · Discontinued | $3.55 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $13.49 Median $16.60 Typical High $16.98 | Professional | 54 · Surgery only | $13.49 | $16.60 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $3.39 Typical High $3.39 | Professional | 55 · Aftercare only | $2.69 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $2.24 Typical High $2.24 | Professional | 56 · Pre-op care only | $1.78 | $2.24 | $2.24 |
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 $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Emblem Health Setting Professional Modifier None Typical Low $48.98 Median $53.70 Typical High $69.18 | Professional | None | $48.98 | $53.70 | $69.18 |
Geisinger Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Geisinger Setting Professional Modifier None Typical Low $22.39 Median $24.55 Typical High $42.66 | Professional | None | $22.39 | $24.55 | $42.66 |
Highmark BCBS Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Highmark BCBS Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Martin's Point Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Martin's Point Setting Professional Modifier None Typical Low $17.78 Median $22.39 Typical High $52.48 | Professional | None | $17.78 | $22.39 | $52.48 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $8.91 | $11.22 | $11.22 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $4.47 Typical High $4.47 | Professional | 53 · Discontinued | $3.55 | $4.47 | $4.47 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $13.49 Median $16.60 Typical High $16.60 | Professional | 54 · Surgery only | $13.49 | $16.60 | $16.60 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $3.39 Typical High $3.39 | Professional | 55 · Aftercare only | $2.69 | $3.39 | $3.39 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $2.24 Typical High $2.24 | Professional | 56 · Pre-op care only | $1.78 | $2.24 | $2.24 |
Oscar Health Setting Professional Modifier None Typical Low $37.15 Median $114.82 Typical High $114.82 | Professional | None | $37.15 | $114.82 | $114.82 |
UPMC Health Plan Setting Facility Modifier None Typical Low $21.38 Median $97.72 Typical High $165.96 | Facility | None | $21.38 | $97.72 | $165.96 |
UPMC Health Plan Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $34.67 | Professional | None | $21.38 | $21.38 | $34.67 |
United Setting Professional Modifier None Typical Low $15.49 Median $18.20 Typical High $25.12 | Professional | None | $15.49 | $18.20 | $25.12 |
Where Pennsylvania sits
The same service costs 3.1 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· 33rd of 51
$22.39
RI $45.71NY $14.79
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.