How much rates vary
Facilitymedian $14 · 10th to 90th $3 to $5,012Professionalmedian $3 · 10th to 90th $2 to $5
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 $2.63 Median $2.63 Typical High $3.31 | Facility | None | $2.63 | $2.63 | $3.31 |
Aetna Setting Professional Modifier None Typical Low $2.63 Median $3.31 Typical High $3.98 | Professional | None | $2.63 | $3.31 | $3.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.32 Median $1.66 Typical High $1.66 | Professional | 52 · Reduced service | $1.32 | $1.66 | $1.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.66 Typical High $0.68 | Professional | 53 · Discontinued | $0.52 | $0.66 | $0.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.00 Median $2.45 Typical High $2.51 | Professional | 54 · Surgery only | $2.00 | $2.45 | $2.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.40 Median $0.50 Typical High $0.50 | Professional | 55 · Aftercare only | $0.40 | $0.50 | $0.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.26 Median $0.33 Typical High $0.33 | Professional | 56 · Pre-op care only | $0.26 | $0.33 | $0.33 |
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 $4.90 Median $5.37 Typical High $5.37 | Professional | None | $4.90 | $5.37 | $5.37 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Emblem Health Setting Professional Modifier None Typical Low $7.24 Median $7.94 Typical High $10.23 | Professional | None | $7.24 | $7.94 | $10.23 |
Geisinger Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
Geisinger Setting Professional Modifier None Typical Low $3.02 Median $3.63 Typical High $6.31 | Professional | None | $3.02 | $3.63 | $6.31 |
Martin's Point Setting Facility Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Facility | None | $2.63 | $2.63 | $2.63 |
Martin's Point Setting Professional Modifier None Typical Low $2.63 Median $3.31 Typical High $3.98 | Professional | None | $2.63 | $3.31 | $3.98 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.32 Median $1.66 Typical High $1.66 | Professional | 52 · Reduced service | $1.32 | $1.66 | $1.66 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.66 Typical High $0.66 | Professional | 53 · Discontinued | $0.52 | $0.66 | $0.66 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $2.00 Median $2.45 Typical High $2.45 | Professional | 54 · Surgery only | $2.00 | $2.45 | $2.45 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.40 Median $0.50 Typical High $0.50 | Professional | 55 · Aftercare only | $0.40 | $0.50 | $0.50 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.26 Median $0.33 Typical High $0.33 | Professional | 56 · Pre-op care only | $0.26 | $0.33 | $0.33 |
Oscar Health Setting Professional Modifier None Typical Low $5.50 Median $20.89 Typical High $20.89 | Professional | None | $5.50 | $20.89 | $20.89 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.16 Median $14.45 Typical High $24.55 | Facility | None | $3.16 | $14.45 | $24.55 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $5.13 | Professional | None | $3.16 | $3.16 | $5.13 |
United Setting Professional Modifier None Typical Low $2.29 Median $2.69 Typical High $3.72 | Professional | None | $2.29 | $2.69 | $3.72 |
Where Pennsylvania sits
The same service costs 3.8 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· 31st of 51
$3.31
RI $8.32NY $2.19
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.