How much rates vary
Facilitymedian $74 · 10th to 90th $13 to $5,012Professionalmedian $16 · 10th to 90th $11 to $26
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 $12.59 Median $12.59 Typical High $15.85 | Facility | None | $12.59 | $12.59 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $15.85 Typical High $19.05 | Professional | None | $12.59 | $15.85 | $19.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.31 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $6.31 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $3.16 Typical High $3.16 | Professional | 53 · Discontinued | $2.51 | $3.16 | $3.16 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $9.55 Median $11.75 Typical High $12.02 | Professional | 54 · Surgery only | $9.55 | $11.75 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.91 Median $2.34 Typical High $2.40 | Professional | 55 · Aftercare only | $1.91 | $2.34 | $2.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.26 Median $1.58 Typical High $1.58 | Professional | 56 · Pre-op care only | $1.26 | $1.58 | $1.58 |
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 $23.44 Median $25.70 Typical High $25.70 | Professional | None | $23.44 | $25.70 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Emblem Health Setting Professional Modifier None Typical Low $34.67 Median $38.02 Typical High $47.86 | Professional | None | $34.67 | $38.02 | $47.86 |
Geisinger Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Geisinger Setting Professional Modifier None Typical Low $15.85 Median $17.38 Typical High $30.20 | Professional | None | $15.85 | $17.38 | $30.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $93.33 Median $173.78 Typical High $223.87 | Facility | None | $93.33 | $173.78 | $223.87 |
Martin's Point Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Martin's Point Setting Professional Modifier None Typical Low $12.59 Median $15.85 Typical High $18.62 | Professional | None | $12.59 | $15.85 | $18.62 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $6.31 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $6.31 | $7.94 | $7.94 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $3.16 Typical High $3.16 | Professional | 53 · Discontinued | $2.51 | $3.16 | $3.16 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $9.55 Median $11.75 Typical High $11.75 | Professional | 54 · Surgery only | $9.55 | $11.75 | $11.75 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.91 Median $2.34 Typical High $2.34 | Professional | 55 · Aftercare only | $1.91 | $2.34 | $2.34 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.26 Median $1.58 Typical High $1.58 | Professional | 56 · Pre-op care only | $1.26 | $1.58 | $1.58 |
Oscar Health Setting Professional Modifier None Typical Low $23.44 Median $91.20 Typical High $91.20 | Professional | None | $23.44 | $91.20 | $91.20 |
UPMC Health Plan Setting Facility Modifier None Typical Low $15.14 Median $69.18 Typical High $117.49 | Facility | None | $15.14 | $69.18 | $117.49 |
UPMC Health Plan Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $24.55 | Professional | None | $15.14 | $15.14 | $24.55 |
United Setting Professional Modifier None Typical Low $10.96 Median $12.88 Typical High $17.78 | Professional | None | $10.96 | $12.88 | $17.78 |
Where Pennsylvania sits
The same service costs 3.5 times more in Rhode Island 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· 32nd of 51
$15.85
RI $36.31NY $10.23
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.