How much rates vary
Facilitymedian $46 · 10th to 90th $18 to $5,012Professionalmedian $19 · 10th to 90th $12 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 $19.50 Median $22.39 Typical High $22.39 | Facility | None | $19.50 | $22.39 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $19.50 Typical High $22.39 | Professional | None | $17.78 | $19.50 | $22.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $9.77 Typical High $10.96 | Professional | 52 · Reduced service | $8.91 | $9.77 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.98 Typical High $4.47 | Professional | 53 · Discontinued | $3.63 | $3.98 | $4.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $2.95 Typical High $3.31 | Professional | 55 · Aftercare only | $2.69 | $2.95 | $3.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $1.95 Typical High $2.24 | Professional | 56 · Pre-op care only | $1.82 | $1.95 | $2.24 |
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 $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Emblem Health Setting Professional Modifier None Typical Low $28.18 Median $37.15 Typical High $47.86 | Professional | None | $28.18 | $37.15 | $47.86 |
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 $15.49 Median $18.20 Typical High $25.70 | Professional | None | $15.49 | $18.20 | $25.70 |
Martin's Point Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Martin's Point Setting Professional Modifier None Typical Low $17.78 Median $19.50 Typical High $22.39 | Professional | None | $17.78 | $19.50 | $22.39 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $9.77 Typical High $10.96 | Professional | 52 · Reduced service | $8.91 | $9.77 | $10.96 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.98 Typical High $4.47 | Professional | 53 · Discontinued | $3.63 | $3.98 | $4.47 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $2.95 Typical High $3.31 | Professional | 55 · Aftercare only | $2.69 | $2.95 | $3.31 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $1.95 Typical High $2.24 | Professional | 56 · Pre-op care only | $1.82 | $1.95 | $2.24 |
Oscar Health Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
UPMC Health Plan Setting Facility Modifier None Typical Low $18.20 Median $83.18 Typical High $141.25 | Facility | None | $18.20 | $83.18 | $141.25 |
UPMC Health Plan Setting Professional Modifier None Typical Low $17.38 Median $18.20 Typical High $23.99 | Professional | None | $17.38 | $18.20 | $23.99 |
United Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $41.69 | Facility | None | $34.67 | $34.67 | $41.69 |
United Setting Professional Modifier None Typical Low $11.48 Median $12.59 Typical High $13.80 | Professional | None | $11.48 | $12.59 | $13.80 |
Where Pennsylvania sits
The same service costs 3.5 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· 26th of 51
$19.50
HI $37.15NY $10.72
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.