How much rates vary
Facilitymedian $66 · 10th to 90th $12 to $5,012Professionalmedian $15 · 10th to 90th $10 to $25
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 $12.30 Median $12.30 Typical High $15.14 | Facility | None | $12.30 | $12.30 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $15.14 Typical High $15.14 | Professional | None | $12.30 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $7.59 Typical High $7.59 | Professional | 52 · Reduced service | $6.17 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $3.09 Typical High $3.09 | Professional | 53 · Discontinued | $2.45 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $9.12 Median $11.48 Typical High $11.48 | Professional | 54 · Surgery only | $9.12 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $2.29 Typical High $2.29 | Professional | 55 · Aftercare only | $1.82 | $2.29 | $2.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $1.51 Typical High $1.51 | Professional | 56 · Pre-op care only | $1.23 | $1.51 | $1.51 |
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 $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
Emblem Health Setting Professional Modifier None Typical Low $33.11 Median $37.15 Typical High $46.77 | Professional | None | $33.11 | $37.15 | $46.77 |
Geisinger Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Geisinger Setting Professional Modifier None Typical Low $15.14 Median $16.60 Typical High $29.51 | Professional | None | $15.14 | $16.60 | $29.51 |
Martin's Point Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Martin's Point Setting Professional Modifier None Typical Low $12.30 Median $15.14 Typical High $15.14 | Professional | None | $12.30 | $15.14 | $15.14 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $7.59 Typical High $7.59 | Professional | 52 · Reduced service | $6.17 | $7.59 | $7.59 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $3.09 Typical High $3.09 | Professional | 53 · Discontinued | $2.45 | $3.09 | $3.09 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $9.12 Median $11.48 Typical High $11.48 | Professional | 54 · Surgery only | $9.12 | $11.48 | $11.48 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $2.29 Typical High $2.29 | Professional | 55 · Aftercare only | $1.82 | $2.29 | $2.29 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $1.51 Typical High $1.51 | Professional | 56 · Pre-op care only | $1.23 | $1.51 | $1.51 |
Oscar Health Setting Professional Modifier None Typical Low $22.91 Median $48.98 Typical High $48.98 | Professional | None | $22.91 | $48.98 | $48.98 |
UPMC Health Plan Setting Facility Modifier None Typical Low $14.79 Median $66.07 Typical High $114.82 | Facility | None | $14.79 | $66.07 | $114.82 |
UPMC Health Plan Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $23.99 | Professional | None | $14.79 | $14.79 | $23.99 |
United Setting Professional Modifier None Typical Low $10.47 Median $12.59 Typical High $16.98 | Professional | None | $10.47 | $12.59 | $16.98 |
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· 30th of 51
$15.14
HI $27.54NY $10.00
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.