How much rates vary
Facilitymedian $19 · 10th to 90th $4 to $5,012Professionalmedian $4 · 10th to 90th $3 to $6
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 $3.55 Median $3.55 Typical High $4.47 | Facility | None | $3.55 | $3.55 | $4.47 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $4.47 Typical High $4.47 | Professional | None | $3.55 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.78 Median $2.19 Typical High $2.19 | Professional | 52 · Reduced service | $1.78 | $2.19 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.87 Typical High $0.87 | Professional | 53 · Discontinued | $0.71 | $0.87 | $0.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.63 Median $3.31 Typical High $3.31 | Professional | 54 · Surgery only | $2.63 | $3.31 | $3.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.52 Median $0.66 Typical High $0.66 | Professional | 55 · Aftercare only | $0.52 | $0.66 | $0.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.35 Median $0.44 Typical High $0.44 | Professional | 56 · Pre-op care only | $0.35 | $0.44 | $0.44 |
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 $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
Emblem Health Setting Professional Modifier None Typical Low $9.55 Median $10.72 Typical High $13.49 | Professional | None | $9.55 | $10.72 | $13.49 |
Geisinger Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Facility | None | $7.41 | $7.41 | $7.41 |
Geisinger Setting Professional Modifier None Typical Low $4.47 Median $5.01 Typical High $8.51 | Professional | None | $4.47 | $5.01 | $8.51 |
Martin's Point Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Facility | None | $3.55 | $3.55 | $3.55 |
Martin's Point Setting Professional Modifier None Typical Low $3.55 Median $4.47 Typical High $4.47 | Professional | None | $3.55 | $4.47 | $4.47 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.78 Median $2.19 Typical High $2.19 | Professional | 52 · Reduced service | $1.78 | $2.19 | $2.19 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.87 Typical High $0.87 | Professional | 53 · Discontinued | $0.71 | $0.87 | $0.87 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $2.63 Median $3.31 Typical High $3.31 | Professional | 54 · Surgery only | $2.63 | $3.31 | $3.31 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.52 Median $0.66 Typical High $0.66 | Professional | 55 · Aftercare only | $0.52 | $0.66 | $0.66 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.35 Median $0.44 Typical High $0.44 | Professional | 56 · Pre-op care only | $0.35 | $0.44 | $0.44 |
Oscar Health Setting Professional Modifier None Typical Low $6.61 Median $15.85 Typical High $15.85 | Professional | None | $6.61 | $15.85 | $15.85 |
UPMC Health Plan Setting Facility Modifier None Typical Low $4.27 Median $19.50 Typical High $33.11 | Facility | None | $4.27 | $19.50 | $33.11 |
UPMC Health Plan Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $6.92 | Professional | None | $4.27 | $4.27 | $6.92 |
United Setting Professional Modifier None Typical Low $3.09 Median $3.63 Typical High $5.01 | Professional | None | $3.09 | $3.63 | $5.01 |
Where Pennsylvania sits
The same service costs 2.7 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· 39th of 51
$3.63
HI $7.94NY $2.95
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.