How much rates vary
Facilitymedian $115 · 10th to 90th $21 to $5,012Professionalmedian $26 · 10th to 90th $18 to $43
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 $20.89 Median $20.89 Typical High $26.30 | Facility | None | $20.89 | $20.89 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $26.30 Typical High $26.30 | Professional | None | $20.89 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $13.18 Typical High $13.18 | Professional | 52 · Reduced service | $10.47 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $5.25 Typical High $5.25 | Professional | 53 · Discontinued | $4.17 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $15.85 Median $19.50 Typical High $19.50 | Professional | 54 · Surgery only | $15.85 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $3.89 Typical High $3.89 | Professional | 55 · Aftercare only | $3.16 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.63 Typical High $2.63 | Professional | 56 · Pre-op care only | $2.09 | $2.63 | $2.63 |
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 $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Emblem Health Setting Professional Modifier None Typical Low $57.54 Median $63.10 Typical High $79.43 | Professional | None | $57.54 | $63.10 | $79.43 |
Geisinger Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Geisinger Setting Professional Modifier None Typical Low $26.30 Median $28.84 Typical High $50.12 | Professional | None | $26.30 | $28.84 | $50.12 |
Martin's Point Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Martin's Point Setting Professional Modifier None Typical Low $20.89 Median $26.30 Typical High $26.30 | Professional | None | $20.89 | $26.30 | $26.30 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $10.47 Median $13.18 Typical High $13.18 | Professional | 52 · Reduced service | $10.47 | $13.18 | $13.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $5.25 Typical High $5.25 | Professional | 53 · Discontinued | $4.17 | $5.25 | $5.25 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $15.85 Median $19.50 Typical High $19.50 | Professional | 54 · Surgery only | $15.85 | $19.50 | $19.50 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $3.89 Typical High $3.89 | Professional | 55 · Aftercare only | $3.16 | $3.89 | $3.89 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.63 Typical High $2.63 | Professional | 56 · Pre-op care only | $2.09 | $2.63 | $2.63 |
Oscar Health Setting Professional Modifier None Typical Low $38.90 Median $104.71 Typical High $104.71 | Professional | None | $38.90 | $104.71 | $104.71 |
UPMC Health Plan Setting Facility Modifier None Typical Low $25.12 Median $114.82 Typical High $194.98 | Facility | None | $25.12 | $114.82 | $194.98 |
UPMC Health Plan Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $40.74 | Professional | None | $25.12 | $25.12 | $40.74 |
United Setting Professional Modifier None Typical Low $18.20 Median $21.38 Typical High $29.51 | Professional | None | $18.20 | $21.38 | $29.51 |
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
$26.30
HI $46.77NY $16.98
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.