How much rates vary
Facilitymedian $112 · 10th to 90th $20 to $5,012Professionalmedian $21 · 10th to 90th $17 to $31
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 $20.42 Median $20.42 Typical High $25.70 | Facility | None | $20.42 | $20.42 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $25.70 Typical High $25.70 | Professional | None | $20.42 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $12.88 Typical High $12.88 | Professional | 52 · Reduced service | $10.23 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $5.13 Typical High $5.13 | Professional | 53 · Discontinued | $4.07 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $15.49 Median $19.05 Typical High $19.05 | Professional | 54 · Surgery only | $15.49 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $3.89 Typical High $3.89 | Professional | 55 · Aftercare only | $3.09 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.57 Typical High $2.57 | Professional | 56 · Pre-op care only | $2.04 | $2.57 | $2.57 |
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 $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Emblem Health Setting Professional Modifier None Typical Low $56.23 Median $61.66 Typical High $79.43 | Professional | None | $56.23 | $61.66 | $79.43 |
Geisinger Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Geisinger Setting Professional Modifier None Typical Low $25.70 Median $28.18 Typical High $48.98 | Professional | None | $25.70 | $28.18 | $48.98 |
Martin's Point Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Martin's Point Setting Professional Modifier None Typical Low $20.42 Median $25.70 Typical High $25.70 | Professional | None | $20.42 | $25.70 | $25.70 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $12.88 Typical High $12.88 | Professional | 52 · Reduced service | $10.23 | $12.88 | $12.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $5.13 Typical High $5.13 | Professional | 53 · Discontinued | $4.07 | $5.13 | $5.13 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $15.49 Median $19.05 Typical High $19.05 | Professional | 54 · Surgery only | $15.49 | $19.05 | $19.05 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $3.89 Typical High $3.89 | Professional | 55 · Aftercare only | $3.09 | $3.89 | $3.89 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.57 Typical High $2.57 | Professional | 56 · Pre-op care only | $2.04 | $2.57 | $2.57 |
Oscar Health Setting Professional Modifier None Typical Low $42.66 Median $67.61 Typical High $67.61 | Professional | None | $42.66 | $67.61 | $67.61 |
UPMC Health Plan Setting Facility Modifier None Typical Low $24.55 Median $112.20 Typical High $190.55 | Facility | None | $24.55 | $112.20 | $190.55 |
UPMC Health Plan Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $39.81 | Professional | None | $24.55 | $24.55 | $39.81 |
United Setting Professional Modifier None Typical Low $17.78 Median $20.89 Typical High $28.84 | Professional | None | $17.78 | $20.89 | $28.84 |
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· 37th of 51
$20.89
HI $45.71NY $16.60
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.