How much rates vary
Facilitymedian $41 · 10th to 90th $7 to $5,012Professionalmedian $9 · 10th to 90th $6 to $15
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 $7.41 Median $7.41 Typical High $9.33 | Facility | None | $7.41 | $7.41 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $9.33 Typical High $13.80 | Professional | None | $7.41 | $9.33 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.72 Median $4.68 Typical High $4.68 | Professional | 52 · Reduced service | $3.72 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.86 Typical High $1.86 | Professional | 53 · Discontinued | $1.48 | $1.86 | $1.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $5.62 Median $6.92 Typical High $7.08 | Professional | 54 · Surgery only | $5.62 | $6.92 | $7.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.12 Median $1.41 Typical High $1.41 | Professional | 55 · Aftercare only | $1.12 | $1.41 | $1.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.76 Median $0.93 Typical High $0.93 | Professional | 56 · Pre-op care only | $0.76 | $0.93 | $0.93 |
Ambetter Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
AmeriHealth Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $12.59 | Professional | None | $6.92 | $6.92 | $12.59 |
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 $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
Emblem Health Setting Professional Modifier None Typical Low $20.42 Median $22.39 Typical High $28.84 | Professional | None | $20.42 | $22.39 | $28.84 |
Geisinger Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Geisinger Setting Professional Modifier None Typical Low $8.91 Median $10.23 Typical High $17.78 | Professional | None | $8.91 | $10.23 | $17.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $33.88 Median $95.50 Typical High $128.82 | Facility | None | $33.88 | $95.50 | $128.82 |
Highmark BCBS Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
Independence Blue Cross Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $7.76 | Professional | None | $6.92 | $6.92 | $7.76 |
Martin's Point Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Facility | None | $7.41 | $7.41 | $7.41 |
Martin's Point Setting Professional Modifier None Typical Low $7.41 Median $9.33 Typical High $13.80 | Professional | None | $7.41 | $9.33 | $13.80 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $3.72 Median $4.68 Typical High $4.68 | Professional | 52 · Reduced service | $3.72 | $4.68 | $4.68 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.86 Typical High $1.86 | Professional | 53 · Discontinued | $1.48 | $1.86 | $1.86 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $5.62 Median $6.92 Typical High $6.92 | Professional | 54 · Surgery only | $5.62 | $6.92 | $6.92 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.12 Median $1.41 Typical High $1.41 | Professional | 55 · Aftercare only | $1.12 | $1.41 | $1.41 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.76 Median $0.93 Typical High $0.93 | Professional | 56 · Pre-op care only | $0.76 | $0.93 | $0.93 |
Oscar Health Setting Professional Modifier None Typical Low $15.49 Median $72.44 Typical High $72.44 | Professional | None | $15.49 | $72.44 | $72.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $8.91 Median $40.74 Typical High $69.18 | Facility | None | $8.91 | $40.74 | $69.18 |
UPMC Health Plan Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $14.45 | Professional | None | $8.91 | $8.91 | $14.45 |
United Setting Professional Modifier None Typical Low $6.46 Median $7.59 Typical High $10.47 | Professional | None | $6.46 | $7.59 | $10.47 |
Where Pennsylvania sits
The same service costs 4.5 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
$9.33
RI $27.54NY $6.17
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.