How much rates vary
Facilitymedian $63 · 10th to 90th $11 to $5,012Professionalmedian $14 · 10th to 90th $10 to $23
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 $11.48 Median $11.48 Typical High $14.45 | Facility | None | $11.48 | $11.48 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $14.45 Typical High $16.22 | Professional | None | $11.48 | $14.45 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $7.08 Typical High $7.08 | Professional | 52 · Reduced service | $5.75 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.88 Typical High $2.88 | Professional | 53 · Discontinued | $2.29 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $8.51 Median $10.72 Typical High $10.72 | Professional | 54 · Surgery only | $8.51 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.70 Median $2.14 Typical High $2.14 | Professional | 55 · Aftercare only | $1.70 | $2.14 | $2.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.45 Typical High $1.45 | Professional | 56 · Pre-op care only | $1.12 | $1.45 | $1.45 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
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 $20.89 Median $23.44 Typical High $23.44 | Professional | None | $20.89 | $23.44 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Emblem Health Setting Professional Modifier None Typical Low $30.90 Median $34.67 Typical High $43.65 | Professional | None | $30.90 | $34.67 | $43.65 |
Geisinger Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Geisinger Setting Professional Modifier None Typical Low $14.13 Median $15.49 Typical High $27.54 | Professional | None | $14.13 | $15.49 | $27.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $162.18 Median $177.83 Typical High $223.87 | Facility | None | $162.18 | $177.83 | $223.87 |
Martin's Point Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Martin's Point Setting Professional Modifier None Typical Low $11.48 Median $14.45 Typical High $14.79 | Professional | None | $11.48 | $14.45 | $14.79 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $5.75 Median $7.08 Typical High $7.08 | Professional | 52 · Reduced service | $5.75 | $7.08 | $7.08 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.88 Typical High $2.88 | Professional | 53 · Discontinued | $2.29 | $2.88 | $2.88 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $8.51 Median $10.72 Typical High $10.72 | Professional | 54 · Surgery only | $8.51 | $10.72 | $10.72 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.70 Median $2.14 Typical High $2.14 | Professional | 55 · Aftercare only | $1.70 | $2.14 | $2.14 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.45 Typical High $1.45 | Professional | 56 · Pre-op care only | $1.12 | $1.45 | $1.45 |
Oscar Health Setting Professional Modifier None Typical Low $23.44 Median $67.61 Typical High $67.61 | Professional | None | $23.44 | $67.61 | $67.61 |
UPMC Health Plan Setting Facility Modifier None Typical Low $13.80 Median $61.66 Typical High $107.15 | Facility | None | $13.80 | $61.66 | $107.15 |
UPMC Health Plan Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $22.39 | Professional | None | $13.80 | $13.80 | $22.39 |
United Setting Professional Modifier None Typical Low $9.77 Median $11.75 Typical High $15.85 | Professional | None | $9.77 | $11.75 | $15.85 |
Where Pennsylvania sits
The same service costs 2.9 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· 29th of 51
$14.45
RI $26.92NY $9.33
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.