How much rates vary
Facilitymedian $63 · 10th to 90th $11 to $5,012Professionalmedian $14 · 10th to 90th $10 to $23
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 $11.48 Median $11.48 Typical High $14.45 | Facility | None | $11.48 | $11.48 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $14.45 Typical High $14.45 | Professional | None | $11.48 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $7.24 Typical High $7.24 | Professional | 52 · Reduced service | $5.75 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.88 Typical High $2.88 | Professional | 53 · Discontinued | $2.29 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $8.71 Median $10.96 Typical High $10.96 | Professional | 54 · Surgery only | $8.71 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.74 Median $2.19 Typical High $2.19 | Professional | 55 · Aftercare only | $1.74 | $2.19 | $2.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.15 Median $1.45 Typical High $1.45 | Professional | 56 · Pre-op care only | $1.15 | $1.45 | $1.45 |
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 $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Emblem Health Setting Professional Modifier None Typical Low $31.62 Median $34.67 Typical High $44.67 | Professional | None | $31.62 | $34.67 | $44.67 |
Geisinger Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Geisinger Setting Professional Modifier None Typical Low $14.13 Median $15.85 Typical High $27.54 | Professional | None | $14.13 | $15.85 | $27.54 |
Martin's Point Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Martin's Point Setting Professional Modifier None Typical Low $11.48 Median $14.45 Typical High $14.45 | Professional | None | $11.48 | $14.45 | $14.45 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $7.24 Typical High $7.24 | Professional | 52 · Reduced service | $5.75 | $7.24 | $7.24 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.88 Typical High $2.88 | Professional | 53 · Discontinued | $2.29 | $2.88 | $2.88 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $8.71 Median $10.96 Typical High $10.96 | Professional | 54 · Surgery only | $8.71 | $10.96 | $10.96 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.74 Median $2.19 Typical High $2.19 | Professional | 55 · Aftercare only | $1.74 | $2.19 | $2.19 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.15 Median $1.45 Typical High $1.45 | Professional | 56 · Pre-op care only | $1.15 | $1.45 | $1.45 |
Oscar Health Setting Professional Modifier None Typical Low $21.38 Median $75.86 Typical High $75.86 | Professional | None | $21.38 | $75.86 | $75.86 |
UPMC Health Plan Setting Facility Modifier None Typical Low $13.80 Median $63.10 Typical High $107.15 | Facility | None | $13.80 | $63.10 | $107.15 |
UPMC Health Plan Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $22.39 | Professional | None | $13.80 | $13.80 | $22.39 |
United Setting Professional Modifier None Typical Low $10.00 Median $11.75 Typical High $16.22 | Professional | None | $10.00 | $11.75 | $16.22 |
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
$14.45
RI $30.20NY $9.55
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.