How much rates vary
Facilitymedian $3,715 · 10th to 90th $692 to $7,762Professionalmedian $813 · 10th to 90th $589 to $871
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 $691.83 Median $4,073.80 Typical High $8,511.38 | Facility | None | $691.83 | $4,073.80 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $691.83 Typical High $776.25 | Professional | None | $588.84 | $691.83 | $776.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $316.23 Typical High $354.81 | Professional | 52 · Reduced service | $295.12 | $316.23 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $125.89 Typical High $144.54 | Professional | 53 · Discontinued | $117.49 | $125.89 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $467.74 Typical High $537.03 | Professional | 54 · Surgery only | $436.52 | $467.74 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $93.33 Typical High $107.15 | Professional | 55 · Aftercare only | $87.10 | $93.33 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $63.10 Typical High $70.79 | Professional | 56 · Pre-op care only | $58.88 | $63.10 | $70.79 |
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 $812.83 Median $812.83 Typical High $831.76 | Professional | None | $812.83 | $812.83 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,691.53 Typical High $6,456.54 | Facility | None | $501.19 | $2,691.53 | $6,456.54 |
Emblem Health Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,230.27 | Professional | None | $891.25 | $891.25 | $1,230.27 |
Geisinger Setting Facility Modifier None Typical Low $3,890.45 Median $4,897.79 Typical High $8,511.38 | Facility | None | $3,890.45 | $4,897.79 | $8,511.38 |
Geisinger Setting Professional Modifier None Typical Low $812.83 Median $831.76 Typical High $1,023.29 | Professional | None | $812.83 | $831.76 | $1,023.29 |
Highmark BCBS Setting Facility Modifier None Typical Low $3,235.94 Median $7,079.46 Typical High $21,877.62 | Facility | None | $3,235.94 | $7,079.46 | $21,877.62 |
Highmark BCBS Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Martin's Point Setting Facility Modifier None Typical Low $724.44 Median $3,801.89 Typical High $8,317.64 | Facility | None | $724.44 | $3,801.89 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $588.84 Median $691.83 Typical High $758.58 | Professional | None | $588.84 | $691.83 | $758.58 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $295.12 Typical High $346.74 | Professional | 52 · Reduced service | $295.12 | $295.12 | $346.74 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $138.04 | Professional | 53 · Discontinued | $117.49 | $117.49 | $138.04 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $512.86 | Professional | 54 · Surgery only | $436.52 | $436.52 | $512.86 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $102.33 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $102.33 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $69.18 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $69.18 |
UPMC Health Plan Setting Facility Modifier None Typical Low $794.33 Median $831.76 Typical High $831.76 | Facility | None | $794.33 | $831.76 | $831.76 |
UPMC Health Plan Setting Professional Modifier None Typical Low $794.33 Median $831.76 Typical High $831.76 | Professional | None | $794.33 | $831.76 | $831.76 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $2,398.83 Typical High $6,918.31 | Facility | None | $1,380.38 | $2,398.83 | $6,918.31 |
United Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $1,230.27 | Professional | None | $676.08 | $831.76 | $1,230.27 |
Where Pennsylvania sits
The same service costs 5.1 times more in Texas than in Delaware. 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· 47th of 51
$813
TX $3,981DE $776
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.