How much rates vary
Facilitymedian $126 · 10th to 90th $23 to $5,012Professionalmedian $29 · 10th to 90th $19 to $47
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 $22.91 Median $22.91 Typical High $28.84 | Facility | None | $22.91 | $22.91 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $28.84 Typical High $28.84 | Professional | None | $22.91 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $11.48 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $4.68 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $17.38 Median $21.88 Typical High $21.88 | Professional | 54 · Surgery only | $17.38 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $4.37 Typical High $4.37 | Professional | 55 · Aftercare only | $3.47 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $2.88 Typical High $2.88 | Professional | 56 · Pre-op care only | $2.29 | $2.88 | $2.88 |
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 $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Emblem Health Setting Professional Modifier None Typical Low $63.10 Median $69.18 Typical High $89.13 | Professional | None | $63.10 | $69.18 | $89.13 |
Geisinger Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Geisinger Setting Professional Modifier None Typical Low $28.84 Median $31.62 Typical High $54.95 | Professional | None | $28.84 | $31.62 | $54.95 |
Martin's Point Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Martin's Point Setting Professional Modifier None Typical Low $22.91 Median $28.84 Typical High $28.84 | Professional | None | $22.91 | $28.84 | $28.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $11.48 | $14.45 | $14.45 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $4.68 | $5.75 | $5.75 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $17.38 Median $21.88 Typical High $21.88 | Professional | 54 · Surgery only | $17.38 | $21.88 | $21.88 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $4.37 Typical High $4.37 | Professional | 55 · Aftercare only | $3.47 | $4.37 | $4.37 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $2.88 Typical High $2.88 | Professional | 56 · Pre-op care only | $2.29 | $2.88 | $2.88 |
Oscar Health Setting Professional Modifier None Typical Low $47.86 Median $151.36 Typical High $151.36 | Professional | None | $47.86 | $151.36 | $151.36 |
UPMC Health Plan Setting Facility Modifier None Typical Low $27.54 Median $125.89 Typical High $213.80 | Facility | None | $27.54 | $125.89 | $213.80 |
UPMC Health Plan Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $44.67 | Professional | None | $27.54 | $27.54 | $44.67 |
United Setting Professional Modifier None Typical Low $19.95 Median $23.44 Typical High $32.36 | Professional | None | $19.95 | $23.44 | $32.36 |
Where Pennsylvania sits
The same service costs 3.2 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· 30th of 51
$28.84
RI $60.26NY $19.05
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.