How much rates vary
Facilitymedian $31 · 10th to 90th $6 to $5,012Professionalmedian $7 · 10th to 90th $5 to $12
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 $5.75 Median $5.75 Typical High $7.08 | Facility | None | $5.75 | $5.75 | $7.08 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $7.08 Typical High $7.41 | Professional | None | $5.75 | $7.08 | $7.41 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.88 Median $3.55 Typical High $3.55 | Professional | 52 · Reduced service | $2.88 | $3.55 | $3.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.45 Typical High $1.45 | Professional | 53 · Discontinued | $1.12 | $1.45 | $1.45 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $4.27 Median $5.37 Typical High $5.37 | Professional | 54 · Surgery only | $4.27 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.85 Median $1.07 Typical High $1.07 | Professional | 55 · Aftercare only | $0.85 | $1.07 | $1.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.56 Median $0.72 Typical High $0.72 | Professional | 56 · Pre-op care only | $0.56 | $0.72 | $0.72 |
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 $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
Emblem Health Setting Professional Modifier None Typical Low $15.49 Median $17.38 Typical High $21.88 | Professional | None | $15.49 | $17.38 | $21.88 |
Geisinger Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
Geisinger Setting Professional Modifier None Typical Low $7.08 Median $7.76 Typical High $13.80 | Professional | None | $7.08 | $7.76 | $13.80 |
Martin's Point Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Facility | None | $5.75 | $5.75 | $5.75 |
Martin's Point Setting Professional Modifier None Typical Low $5.75 Median $7.08 Typical High $7.08 | Professional | None | $5.75 | $7.08 | $7.08 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $2.88 Median $3.55 Typical High $3.55 | Professional | 52 · Reduced service | $2.88 | $3.55 | $3.55 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.45 Typical High $1.45 | Professional | 53 · Discontinued | $1.12 | $1.45 | $1.45 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $4.27 Median $5.37 Typical High $5.37 | Professional | 54 · Surgery only | $4.27 | $5.37 | $5.37 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.85 Median $1.07 Typical High $1.07 | Professional | 55 · Aftercare only | $0.85 | $1.07 | $1.07 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.56 Median $0.72 Typical High $0.72 | Professional | 56 · Pre-op care only | $0.56 | $0.72 | $0.72 |
Oscar Health Setting Professional Modifier None Typical Low $10.72 Median $33.88 Typical High $33.88 | Professional | None | $10.72 | $33.88 | $33.88 |
UPMC Health Plan Setting Facility Modifier None Typical Low $6.92 Median $30.90 Typical High $53.70 | Facility | None | $6.92 | $30.90 | $53.70 |
UPMC Health Plan Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $11.22 | Professional | None | $6.92 | $6.92 | $11.22 |
United Setting Professional Modifier None Typical Low $4.90 Median $5.75 Typical High $7.94 | Professional | None | $4.90 | $5.75 | $7.94 |
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· 30th of 51
$7.08
RI $13.49NY $4.68
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.