How much rates vary
Facilitymedian $23 · 10th to 90th $4 to $5,012Professionalmedian $5 · 10th to 90th $3 to $9
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 $4.17 Median $4.17 Typical High $5.13 | Facility | None | $4.17 | $4.17 | $5.13 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $5.13 Typical High $6.17 | Professional | None | $4.17 | $5.13 | $6.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.04 Median $2.57 Typical High $2.63 | Professional | 52 · Reduced service | $2.04 | $2.57 | $2.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $1.02 Typical High $1.02 | Professional | 53 · Discontinued | $0.83 | $1.02 | $1.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3.09 Median $3.89 Typical High $3.89 | Professional | 54 · Surgery only | $3.09 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.62 Median $0.78 Typical High $0.78 | Professional | 55 · Aftercare only | $0.62 | $0.78 | $0.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.41 Median $0.52 Typical High $0.52 | Professional | 56 · Pre-op care only | $0.41 | $0.52 | $0.52 |
AmeriHealth Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | None | $3.89 | $3.89 | $3.89 |
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 $7.59 Median $8.51 Typical High $8.51 | Professional | None | $7.59 | $8.51 | $8.51 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
Emblem Health Setting Professional Modifier None Typical Low $11.22 Median $12.30 Typical High $15.85 | Professional | None | $11.22 | $12.30 | $15.85 |
Geisinger Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Facility | None | $8.51 | $8.51 | $8.51 |
Geisinger Setting Professional Modifier None Typical Low $5.01 Median $5.62 Typical High $10.00 | Professional | None | $5.01 | $5.62 | $10.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $32.36 | Facility | None | $30.90 | $30.90 | $32.36 |
Independence Blue Cross Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | None | $3.89 | $3.89 | $3.89 |
Martin's Point Setting Facility Modifier None Typical Low $4.17 Median $4.17 Typical High $4.17 | Facility | None | $4.17 | $4.17 | $4.17 |
Martin's Point Setting Professional Modifier None Typical Low $4.17 Median $5.13 Typical High $6.17 | Professional | None | $4.17 | $5.13 | $6.17 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $2.04 Median $2.57 Typical High $2.57 | Professional | 52 · Reduced service | $2.04 | $2.57 | $2.57 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $1.02 Typical High $1.02 | Professional | 53 · Discontinued | $0.83 | $1.02 | $1.02 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $3.09 Median $3.89 Typical High $3.89 | Professional | 54 · Surgery only | $3.09 | $3.89 | $3.89 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.62 Median $0.78 Typical High $0.78 | Professional | 55 · Aftercare only | $0.62 | $0.78 | $0.78 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.41 Median $0.52 Typical High $0.52 | Professional | 56 · Pre-op care only | $0.41 | $0.52 | $0.52 |
Oscar Health Setting Professional Modifier None Typical Low $7.76 Median $34.67 Typical High $34.67 | Professional | None | $7.76 | $34.67 | $34.67 |
UPMC Health Plan Setting Facility Modifier None Typical Low $4.90 Median $22.39 Typical High $38.90 | Facility | None | $4.90 | $22.39 | $38.90 |
UPMC Health Plan Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $7.94 | Professional | None | $4.90 | $4.90 | $7.94 |
United Setting Professional Modifier None Typical Low $3.55 Median $4.17 Typical High $5.75 | Professional | None | $3.55 | $4.17 | $5.75 |
Where Pennsylvania sits
The same service costs 4.1 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· 34th of 51
$5.13
RI $13.80NY $3.39
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.