How much rates vary
Facilitymedian $11 · 10th to 90th $2 to $5,012Professionalmedian $3 · 10th to 90th $2 to $4
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 $2.09 Median $2.09 Typical High $2.57 | Facility | None | $2.09 | $2.09 | $2.57 |
Aetna Setting Professional Modifier None Typical Low $2.09 Median $2.57 Typical High $2.63 | Professional | None | $2.09 | $2.57 | $2.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.05 Median $1.29 Typical High $1.32 | Professional | 52 · Reduced service | $1.05 | $1.29 | $1.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.42 Median $0.52 Typical High $0.52 | Professional | 53 · Discontinued | $0.42 | $0.52 | $0.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1.55 Median $1.95 Typical High $1.95 | Professional | 54 · Surgery only | $1.55 | $1.95 | $1.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.31 Median $0.39 Typical High $0.39 | Professional | 55 · Aftercare only | $0.31 | $0.39 | $0.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.26 Typical High $0.26 | Professional | 56 · Pre-op care only | $0.21 | $0.26 | $0.26 |
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 $3.80 Median $4.27 Typical High $4.27 | Professional | None | $3.80 | $4.27 | $4.27 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
Emblem Health Setting Professional Modifier None Typical Low $5.62 Median $6.31 Typical High $7.94 | Professional | None | $5.62 | $6.31 | $7.94 |
Geisinger Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Facility | None | $4.27 | $4.27 | $4.27 |
Geisinger Setting Professional Modifier None Typical Low $2.57 Median $2.82 Typical High $5.01 | Professional | None | $2.57 | $2.82 | $5.01 |
Highmark BCBS Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $60.26 | Facility | None | $58.88 | $58.88 | $60.26 |
Martin's Point Setting Facility Modifier None Typical Low $2.09 Median $2.09 Typical High $2.09 | Facility | None | $2.09 | $2.09 | $2.09 |
Martin's Point Setting Professional Modifier None Typical Low $2.09 Median $2.57 Typical High $2.57 | Professional | None | $2.09 | $2.57 | $2.57 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.05 Median $1.29 Typical High $1.29 | Professional | 52 · Reduced service | $1.05 | $1.29 | $1.29 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.42 Median $0.52 Typical High $0.52 | Professional | 53 · Discontinued | $0.42 | $0.52 | $0.52 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $1.55 Median $1.95 Typical High $1.95 | Professional | 54 · Surgery only | $1.55 | $1.95 | $1.95 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.31 Median $0.39 Typical High $0.39 | Professional | 55 · Aftercare only | $0.31 | $0.39 | $0.39 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.26 Typical High $0.26 | Professional | 56 · Pre-op care only | $0.21 | $0.26 | $0.26 |
Oscar Health Setting Professional Modifier None Typical Low $4.27 Median $16.98 Typical High $16.98 | Professional | None | $4.27 | $16.98 | $16.98 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2.45 Median $11.22 Typical High $19.50 | Facility | None | $2.45 | $11.22 | $19.50 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $4.07 | Professional | None | $2.45 | $2.45 | $4.07 |
United Setting Professional Modifier None Typical Low $1.78 Median $2.09 Typical High $2.88 | Professional | None | $1.78 | $2.09 | $2.88 |
Where Pennsylvania sits
The same service costs 4.0 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· 32nd of 51
$2.57
RI $6.76NY $1.70
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.