How much rates vary
Facilitymedian $224 · 10th to 90th $41 to $5,012Professionalmedian $42 · 10th to 90th $35 to $65
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 $40.74 Median $40.74 Typical High $51.29 | Facility | None | $40.74 | $40.74 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $51.29 Typical High $51.29 | Professional | None | $40.74 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $20.42 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $8.13 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $30.90 Median $38.90 Typical High $38.90 | Professional | 54 · Surgery only | $30.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $7.76 Typical High $7.76 | Professional | 55 · Aftercare only | $6.17 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $5.13 Typical High $5.13 | Professional | 56 · Pre-op care only | $4.07 | $5.13 | $5.13 |
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 $56,234.13 Median $56,234.13 Typical High $56,234.13 | Professional | None | $56,234.13 | $56,234.13 | $56,234.13 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Emblem Health Setting Professional Modifier None Typical Low $112.20 Median $123.03 Typical High $158.49 | Professional | None | $112.20 | $123.03 | $158.49 |
Geisinger Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Geisinger Setting Professional Modifier None Typical Low $51.29 Median $56.23 Typical High $97.72 | Professional | None | $51.29 | $56.23 | $97.72 |
Martin's Point Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Martin's Point Setting Professional Modifier None Typical Low $40.74 Median $51.29 Typical High $51.29 | Professional | None | $40.74 | $51.29 | $51.29 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $20.42 | $25.70 | $25.70 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $8.13 | $10.23 | $10.23 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $30.90 Median $38.90 Typical High $38.90 | Professional | 54 · Surgery only | $30.90 | $38.90 | $38.90 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $7.76 Typical High $7.76 | Professional | 55 · Aftercare only | $6.17 | $7.76 | $7.76 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $5.13 Typical High $5.13 | Professional | 56 · Pre-op care only | $4.07 | $5.13 | $5.13 |
Oscar Health Setting Professional Modifier None Typical Low $75.86 Median $134.90 Typical High $134.90 | Professional | None | $75.86 | $134.90 | $134.90 |
UPMC Health Plan Setting Facility Modifier None Typical Low $48.98 Median $223.87 Typical High $380.19 | Facility | None | $48.98 | $223.87 | $380.19 |
UPMC Health Plan Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $79.43 | Professional | None | $48.98 | $48.98 | $79.43 |
United Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $57.54 | Professional | None | $35.48 | $41.69 | $57.54 |
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· 40th of 51
$41.69
HI $91.20NY $33.11
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.