How much rates vary
Facilitymedian $89 · 10th to 90th $17 to $5,012Professionalmedian $20 · 10th to 90th $14 to $34
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 $16.60 Median $16.60 Typical High $20.42 | Facility | None | $16.60 | $16.60 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $20.42 Typical High $20.42 | Professional | None | $16.60 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.32 Median $10.23 Typical High $10.23 | Professional | 52 · Reduced service | $8.32 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $4.17 Typical High $4.17 | Professional | 53 · Discontinued | $3.31 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $12.30 Median $15.49 Typical High $15.49 | Professional | 54 · Surgery only | $12.30 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $3.09 Typical High $3.09 | Professional | 55 · Aftercare only | $2.45 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.66 Median $2.04 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.66 | $2.04 | $2.04 |
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 $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Emblem Health Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $63.10 | Professional | None | $44.67 | $50.12 | $63.10 |
Geisinger Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Geisinger Setting Professional Modifier None Typical Low $20.42 Median $22.39 Typical High $39.81 | Professional | None | $20.42 | $22.39 | $39.81 |
Martin's Point Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Martin's Point Setting Professional Modifier None Typical Low $16.60 Median $20.42 Typical High $20.42 | Professional | None | $16.60 | $20.42 | $20.42 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $8.32 Median $10.23 Typical High $10.23 | Professional | 52 · Reduced service | $8.32 | $10.23 | $10.23 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $4.17 Typical High $4.17 | Professional | 53 · Discontinued | $3.31 | $4.17 | $4.17 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $12.30 Median $15.49 Typical High $15.49 | Professional | 54 · Surgery only | $12.30 | $15.49 | $15.49 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $3.09 Typical High $3.09 | Professional | 55 · Aftercare only | $2.45 | $3.09 | $3.09 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.66 Median $2.04 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.66 | $2.04 | $2.04 |
Oscar Health Setting Professional Modifier None Typical Low $33.88 Median $64.57 Typical High $64.57 | Professional | None | $33.88 | $64.57 | $64.57 |
UPMC Health Plan Setting Facility Modifier None Typical Low $19.50 Median $89.13 Typical High $154.88 | Facility | None | $19.50 | $89.13 | $154.88 |
UPMC Health Plan Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $32.36 | Professional | None | $19.50 | $19.50 | $32.36 |
United Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $22.91 | Professional | None | $14.13 | $16.98 | $22.91 |
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· 28th of 51
$20.42
HI $37.15NY $13.49
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.