How much rates vary
Facilitymedian $195 · 10th to 90th $63 to $3,020Professionalmedian $89 · 10th to 90th $49 to $162
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 $93.33 Median $2,290.87 Typical High $7,943.28 | Facility | None | $93.33 | $2,290.87 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $87.10 Typical High $147.91 | Professional | None | $47.86 | $87.10 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $34.67 Typical High $46.77 | Professional | 52 · Reduced service | $23.99 | $34.67 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $13.80 Typical High $18.62 | Professional | 53 · Discontinued | $9.55 | $13.80 | $18.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $35.48 Median $51.29 Typical High $70.79 | Professional | 54 · Surgery only | $35.48 | $51.29 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $10.23 Typical High $14.13 | Professional | 55 · Aftercare only | $7.08 | $10.23 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $6.92 Typical High $9.33 | Professional | 56 · Pre-op care only | $4.79 | $6.92 | $9.33 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
AmeriHealth Setting Facility Modifier None Typical Low $524.81 Median $707.95 Typical High $4,265.80 | Facility | None | $524.81 | $707.95 | $4,265.80 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $56,234.13 | Facility | None | $1,202.26 | $1,412.54 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $56,234.13 | Professional | None | $87.10 | $87.10 | $56,234.13 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $77.62 Typical High $128.82 | Facility | None | $50.12 | $77.62 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $97.72 Typical High $186.21 | Professional | None | $52.48 | $97.72 | $186.21 |
Emblem Health Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $173.78 | Professional | None | $165.96 | $165.96 | $173.78 |
Geisinger Setting Facility Modifier None Typical Low $61.66 Median $77.62 Typical High $134.90 | Facility | None | $61.66 | $77.62 | $134.90 |
Geisinger Setting Professional Modifier None Typical Low $75.86 Median $134.90 Typical High $213.80 | Professional | None | $75.86 | $134.90 | $213.80 |
Highmark BCBS Setting Facility Modifier None Typical Low $645.65 Median $851.14 Typical High $1,905.46 | Facility | None | $645.65 | $851.14 | $1,905.46 |
Highmark BCBS Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Independence Blue Cross Setting Facility Modifier None Typical Low $457.09 Median $691.83 Typical High $1,698.24 | Facility | None | $457.09 | $691.83 | $1,698.24 |
Martin's Point Setting Facility Modifier None Typical Low $478.63 Median $2,137.96 Typical High $7,244.36 | Facility | None | $478.63 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $47.86 Median $87.10 Typical High $147.91 | Professional | None | $47.86 | $87.10 | $147.91 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $34.67 Typical High $46.77 | Professional | 52 · Reduced service | $23.99 | $34.67 | $46.77 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $13.80 Typical High $18.62 | Professional | 53 · Discontinued | $9.55 | $13.80 | $18.62 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $35.48 Median $51.29 Typical High $70.79 | Professional | 54 · Surgery only | $35.48 | $51.29 | $70.79 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $10.23 Typical High $14.13 | Professional | 55 · Aftercare only | $7.08 | $10.23 | $14.13 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $6.92 Typical High $9.33 | Professional | 56 · Pre-op care only | $4.79 | $6.92 | $9.33 |
Oscar Health Setting Professional Modifier None Typical Low $100.00 Median $114.82 Typical High $281.84 | Professional | None | $100.00 | $114.82 | $281.84 |
UPMC Health Plan Setting Facility Modifier None Typical Low $77.62 Median $138.04 Typical High $223.87 | Facility | None | $77.62 | $138.04 | $223.87 |
UPMC Health Plan Setting Professional Modifier None Typical Low $53.70 Median $97.72 Typical High $138.04 | Professional | None | $53.70 | $97.72 | $138.04 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,348.96 | Facility | None | $77.62 | $158.49 | $1,348.96 |
United Setting Professional Modifier None Typical Low $51.29 Median $91.20 Typical High $173.78 | Professional | None | $51.29 | $91.20 | $173.78 |
Where Pennsylvania sits
The same service costs 2.8 times more in Alaska than in Pennsylvania. 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· 51st of 51
$93.33
AK $257PA $93.33
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.