How much rates vary
Facilitymedian $89 · 10th to 90th $16 to $5,012Professionalmedian $20 · 10th to 90th $14 to $33
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 $16.22 Median $16.22 Typical High $20.42 | Facility | None | $16.22 | $16.22 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $20.42 Typical High $22.39 | Professional | None | $16.22 | $20.42 | $22.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $10.23 Typical High $10.23 | Professional | 52 · Reduced service | $8.13 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $4.07 Typical High $4.07 | Professional | 53 · Discontinued | $3.24 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $12.30 Median $15.14 Typical High $15.14 | Professional | 54 · Surgery only | $12.30 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $3.02 Typical High $3.02 | Professional | 55 · Aftercare only | $2.45 | $3.02 | $3.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $2.04 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.62 | $2.04 | $2.04 |
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 $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Emblem Health Setting Professional Modifier None Typical Low $44.67 Median $48.98 Typical High $63.10 | Professional | None | $44.67 | $48.98 | $63.10 |
Geisinger Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Geisinger Setting Professional Modifier None Typical Low $19.95 Median $22.39 Typical High $38.90 | Professional | None | $19.95 | $22.39 | $38.90 |
Highmark BCBS Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $281.84 | Facility | None | $177.83 | $177.83 | $281.84 |
Martin's Point Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Martin's Point Setting Professional Modifier None Typical Low $16.22 Median $20.42 Typical High $20.42 | Professional | None | $16.22 | $20.42 | $20.42 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $10.23 Typical High $10.23 | Professional | 52 · Reduced service | $8.13 | $10.23 | $10.23 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $4.07 Typical High $4.07 | Professional | 53 · Discontinued | $3.24 | $4.07 | $4.07 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $12.30 Median $15.14 Typical High $15.14 | Professional | 54 · Surgery only | $12.30 | $15.14 | $15.14 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $3.02 Typical High $3.02 | Professional | 55 · Aftercare only | $2.45 | $3.02 | $3.02 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $2.04 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.62 | $2.04 | $2.04 |
Oscar Health Setting Professional Modifier None Typical Low $30.20 Median $83.18 Typical High $83.18 | Professional | None | $30.20 | $83.18 | $83.18 |
UPMC Health Plan Setting Facility Modifier None Typical Low $19.50 Median $89.13 Typical High $151.36 | Facility | None | $19.50 | $89.13 | $151.36 |
UPMC Health Plan Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $31.62 | Professional | None | $19.50 | $19.50 | $31.62 |
United Setting Professional Modifier None Typical Low $14.13 Median $16.60 Typical High $22.91 | Professional | None | $14.13 | $16.60 | $22.91 |
Where Pennsylvania sits
The same service costs 2.6 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· 28th of 51
$20.42
HI $35.48NY $13.49
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.