How much rates vary
Facilitymedian $45 · 10th to 90th $8 to $5,012Professionalmedian $10 · 10th to 90th $7 to $17
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 $8.32 Median $8.32 Typical High $10.23 | Facility | None | $8.32 | $8.32 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $10.23 Typical High $10.23 | Professional | None | $8.32 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.17 Median $5.13 Typical High $5.13 | Professional | 52 · Reduced service | $4.17 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $2.04 Typical High $2.04 | Professional | 53 · Discontinued | $1.66 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $6.17 Median $7.76 Typical High $7.76 | Professional | 54 · Surgery only | $6.17 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.23 Median $1.55 Typical High $1.55 | Professional | 55 · Aftercare only | $1.23 | $1.55 | $1.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.83 Median $1.02 Typical High $1.02 | Professional | 56 · Pre-op care only | $0.83 | $1.02 | $1.02 |
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 $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Emblem Health Setting Professional Modifier None Typical Low $22.39 Median $25.12 Typical High $31.62 | Professional | None | $22.39 | $25.12 | $31.62 |
Geisinger Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Geisinger Setting Professional Modifier None Typical Low $10.23 Median $11.22 Typical High $19.95 | Professional | None | $10.23 | $11.22 | $19.95 |
Martin's Point Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Martin's Point Setting Professional Modifier None Typical Low $8.32 Median $10.23 Typical High $10.23 | Professional | None | $8.32 | $10.23 | $10.23 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $4.17 Median $5.13 Typical High $5.13 | Professional | 52 · Reduced service | $4.17 | $5.13 | $5.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $2.04 Typical High $2.04 | Professional | 53 · Discontinued | $1.66 | $2.04 | $2.04 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $6.17 Median $7.76 Typical High $7.76 | Professional | 54 · Surgery only | $6.17 | $7.76 | $7.76 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.23 Median $1.55 Typical High $1.55 | Professional | 55 · Aftercare only | $1.23 | $1.55 | $1.55 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.83 Median $1.02 Typical High $1.02 | Professional | 56 · Pre-op care only | $0.83 | $1.02 | $1.02 |
Oscar Health Setting Professional Modifier None Typical Low $15.49 Median $32.36 Typical High $32.36 | Professional | None | $15.49 | $32.36 | $32.36 |
UPMC Health Plan Setting Facility Modifier None Typical Low $9.77 Median $44.67 Typical High $77.62 | Facility | None | $9.77 | $44.67 | $77.62 |
UPMC Health Plan Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $15.85 | Professional | None | $9.77 | $9.77 | $15.85 |
United Setting Professional Modifier None Typical Low $7.08 Median $8.32 Typical High $11.48 | Professional | None | $7.08 | $8.32 | $11.48 |
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
$10.23
HI $18.62NY $6.76
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.