How much rates vary
Facilitymedian $501 · 10th to 90th $269 to $3,467Professionalmedian $269 · 10th to 90th $81 to $513
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 $281.84 Median $2,344.23 Typical High $8,317.64 | Facility | None | $281.84 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $257.04 Typical High $281.84 | Professional | None | $79.43 | $257.04 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $57.54 Typical High $141.25 | Professional | 52 · Reduced service | $39.81 | $57.54 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $22.91 Typical High $56.23 | Professional | 53 · Discontinued | $15.85 | $22.91 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $85.11 Typical High $208.93 | Professional | 54 · Surgery only | $58.88 | $85.11 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $16.98 Typical High $42.66 | Professional | 55 · Aftercare only | $12.02 | $16.98 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $11.48 Typical High $28.18 | Professional | 56 · Pre-op care only | $7.94 | $11.48 | $28.18 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $56,234.13 | Facility | None | $2,630.27 | $3,019.95 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $295.12 Median $436.52 Typical High $549.54 | Professional | None | $295.12 | $436.52 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $467.74 Typical High $851.14 | Facility | None | $295.12 | $467.74 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $275.42 Typical High $501.19 | Professional | None | $91.20 | $275.42 | $501.19 |
Emblem Health Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $588.84 | Professional | None | $575.44 | $575.44 | $588.84 |
Geisinger Setting Facility Modifier None Typical Low $269.15 Median $338.84 Typical High $588.84 | Facility | None | $269.15 | $338.84 | $588.84 |
Geisinger Setting Professional Modifier None Typical Low $104.71 Median $331.13 Typical High $562.34 | Professional | None | $104.71 | $331.13 | $562.34 |
Highmark BCBS Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $1,819.70 | Facility | None | $977.24 | $977.24 | $1,819.70 |
Martin's Point Setting Facility Modifier None Typical Low $426.58 Median $2,137.96 Typical High $7,244.36 | Facility | None | $426.58 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $79.43 Median $257.04 Typical High $281.84 | Professional | None | $79.43 | $257.04 | $281.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $57.54 Typical High $141.25 | Professional | 52 · Reduced service | $39.81 | $57.54 | $141.25 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $22.91 Typical High $56.23 | Professional | 53 · Discontinued | $15.85 | $22.91 | $56.23 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $85.11 Typical High $208.93 | Professional | 54 · Surgery only | $58.88 | $85.11 | $208.93 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $16.98 Typical High $42.66 | Professional | 55 · Aftercare only | $12.02 | $16.98 | $42.66 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $11.48 Typical High $28.18 | Professional | 56 · Pre-op care only | $7.94 | $11.48 | $28.18 |
Oscar Health Setting Professional Modifier None Typical Low $316.23 Median $331.13 Typical High $363.08 | Professional | None | $316.23 | $331.13 | $363.08 |
UPMC Health Plan Setting Facility Modifier None Typical Low $87.10 Median $104.71 Typical High $309.03 | Facility | None | $87.10 | $104.71 | $309.03 |
UPMC Health Plan Setting Professional Modifier None Typical Low $87.10 Median $281.84 Typical High $309.03 | Professional | None | $87.10 | $281.84 | $309.03 |
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 $85.11 Median $208.93 Typical High $467.74 | Professional | None | $85.11 | $208.93 | $467.74 |
Where Pennsylvania sits
The same service costs 4.3 times more in Oklahoma than in Nebraska. 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· 36th of 51
$282
OK $724NE $170
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.