How much rates vary
Facilitymedian $603 · 10th to 90th $316 to $2,818Professionalmedian $275 · 10th to 90th $174 to $427
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 $537.03 Median $2,454.71 Typical High $8,317.64 | Facility | None | $537.03 | $2,454.71 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $229.09 Typical High $275.42 | Professional | None | $181.97 | $229.09 | $275.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $120.23 Typical High $134.90 | Professional | 52 · Reduced service | $93.33 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $47.86 Typical High $54.95 | Professional | 53 · Discontinued | $37.15 | $47.86 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $177.83 Typical High $204.17 | Professional | 54 · Surgery only | $138.04 | $177.83 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $36.31 Typical High $40.74 | Professional | 55 · Aftercare only | $27.54 | $36.31 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $23.99 Typical High $27.54 | Professional | 56 · Pre-op care only | $18.62 | $23.99 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $575.44 Typical High $1,047.13 | Facility | None | $407.38 | $575.44 | $1,047.13 |
Emblem Health Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Geisinger Setting Facility Modifier None Typical Low $389.05 Median $489.78 Typical High $870.96 | Facility | None | $389.05 | $489.78 | $870.96 |
Highmark BCBS Setting Facility Modifier None Typical Low $416.87 Median $1,479.11 Typical High $2,630.27 | Facility | None | $416.87 | $1,479.11 | $2,630.27 |
Martin's Point Setting Facility Modifier None Typical Low $588.84 Median $2,344.23 Typical High $7,244.36 | Facility | None | $588.84 | $2,344.23 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $181.97 Median $229.09 Typical High $275.42 | Professional | None | $181.97 | $229.09 | $275.42 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $114.82 | $134.90 | $134.90 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $46.77 | $54.95 | $54.95 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $204.17 Typical High $204.17 | Professional | 54 · Surgery only | $173.78 | $204.17 | $204.17 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $40.74 Typical High $40.74 | Professional | 55 · Aftercare only | $34.67 | $40.74 | $40.74 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $27.54 Typical High $27.54 | Professional | 56 · Pre-op care only | $22.91 | $27.54 | $27.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $660.69 Median $912.01 Typical High $1,479.11 | Facility | None | $660.69 | $912.01 | $1,479.11 |
UPMC Health Plan Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
United Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $2,089.30 | Facility | None | $199.53 | $436.52 | $2,089.30 |
United Setting Professional Modifier None Typical Low $151.36 Median $309.03 Typical High $630.96 | Professional | None | $151.36 | $309.03 | $630.96 |
Where Pennsylvania sits
The same service costs 8.3 times more in Oklahoma than in Rhode Island. 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· 42nd of 51
$324
OK $1,514RI $182
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.