How much rates vary
Facilitymedian $195 · 10th to 90th $36 to $5,012Professionalmedian $46 · 10th to 90th $31 to $74
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 $36.31 Median $36.31 Typical High $45.71 | Facility | None | $36.31 | $36.31 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $45.71 Typical High $45.71 | Professional | None | $36.31 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $18.20 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $7.24 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $26.92 Median $33.88 Typical High $33.88 | Professional | 54 · Surgery only | $26.92 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $6.76 Typical High $6.76 | Professional | 55 · Aftercare only | $5.37 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $4.47 Typical High $4.47 | Professional | 56 · Pre-op care only | $3.63 | $4.47 | $4.47 |
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 $66.07 Median $74.13 Typical High $74.13 | Professional | None | $66.07 | $74.13 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Emblem Health Setting Professional Modifier None Typical Low $97.72 Median $109.65 Typical High $138.04 | Professional | None | $97.72 | $109.65 | $138.04 |
Geisinger Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Geisinger Setting Professional Modifier None Typical Low $44.67 Median $48.98 Typical High $87.10 | Professional | None | $44.67 | $48.98 | $87.10 |
Martin's Point Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Martin's Point Setting Professional Modifier None Typical Low $36.31 Median $45.71 Typical High $45.71 | Professional | None | $36.31 | $45.71 | $45.71 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $18.20 | $22.39 | $22.39 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $7.24 | $9.12 | $9.12 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $26.92 Median $33.88 Typical High $33.88 | Professional | 54 · Surgery only | $26.92 | $33.88 | $33.88 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $6.76 Typical High $6.76 | Professional | 55 · Aftercare only | $5.37 | $6.76 | $6.76 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $4.47 Typical High $4.47 | Professional | 56 · Pre-op care only | $3.63 | $4.47 | $4.47 |
Oscar Health Setting Professional Modifier None Typical Low $67.61 Median $162.18 Typical High $162.18 | Professional | None | $67.61 | $162.18 | $162.18 |
UPMC Health Plan Setting Facility Modifier None Typical Low $43.65 Median $194.98 Typical High $338.84 | Facility | None | $43.65 | $194.98 | $338.84 |
UPMC Health Plan Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $70.79 | Professional | None | $43.65 | $43.65 | $70.79 |
United Setting Professional Modifier None Typical Low $31.62 Median $37.15 Typical High $50.12 | Professional | None | $31.62 | $37.15 | $50.12 |
Where Pennsylvania sits
The same service costs 2.8 times more in Hawaii 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· 27th of 51
$45.71
HI $81.28NY $29.51
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.