How much rates vary
Facilitymedian $52 · 10th to 90th $10 to $5,012Professionalmedian $12 · 10th to 90th $8 to $19
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 $9.55 Median $9.55 Typical High $12.02 | Facility | None | $9.55 | $9.55 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $12.02 Typical High $12.02 | Professional | None | $9.55 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $6.03 Typical High $6.03 | Professional | 52 · Reduced service | $4.79 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.40 Typical High $2.40 | Professional | 53 · Discontinued | $1.95 | $2.40 | $2.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $7.24 Median $9.12 Typical High $9.12 | Professional | 54 · Surgery only | $7.24 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.45 Median $1.82 Typical High $1.82 | Professional | 55 · Aftercare only | $1.45 | $1.82 | $1.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.98 Median $1.20 Typical High $1.20 | Professional | 56 · Pre-op care only | $0.98 | $1.20 | $1.20 |
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 $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Emblem Health Setting Professional Modifier None Typical Low $26.30 Median $28.84 Typical High $37.15 | Professional | None | $26.30 | $28.84 | $37.15 |
Geisinger Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Geisinger Setting Professional Modifier None Typical Low $12.02 Median $13.18 Typical High $22.91 | Professional | None | $12.02 | $13.18 | $22.91 |
Martin's Point Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
Martin's Point Setting Professional Modifier None Typical Low $9.55 Median $12.02 Typical High $12.02 | Professional | None | $9.55 | $12.02 | $12.02 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $6.03 Typical High $6.03 | Professional | 52 · Reduced service | $4.79 | $6.03 | $6.03 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.40 Typical High $2.40 | Professional | 53 · Discontinued | $1.95 | $2.40 | $2.40 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $7.24 Median $9.12 Typical High $9.12 | Professional | 54 · Surgery only | $7.24 | $9.12 | $9.12 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.45 Median $1.82 Typical High $1.82 | Professional | 55 · Aftercare only | $1.45 | $1.82 | $1.82 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.98 Median $1.20 Typical High $1.20 | Professional | 56 · Pre-op care only | $0.98 | $1.20 | $1.20 |
Oscar Health Setting Professional Modifier None Typical Low $19.95 Median $38.90 Typical High $38.90 | Professional | None | $19.95 | $38.90 | $38.90 |
UPMC Health Plan Setting Facility Modifier None Typical Low $11.48 Median $52.48 Typical High $89.13 | Facility | None | $11.48 | $52.48 | $89.13 |
UPMC Health Plan Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $18.62 | Professional | None | $11.48 | $11.48 | $18.62 |
United Setting Professional Modifier None Typical Low $8.32 Median $9.77 Typical High $13.49 | Professional | None | $8.32 | $9.77 | $13.49 |
Where Pennsylvania sits
The same service costs 2.8 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· 29th of 51
$12.02
HI $21.88NY $7.94
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.