How much rates vary
Facilitymedian $115 · 10th to 90th $40 to $3,020Professionalmedian $50 · 10th to 90th $25 to $78
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 $53.70 Median $2,344.23 Typical High $8,317.64 | Facility | None | $53.70 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $44.67 Typical High $60.26 | Professional | None | $23.99 | $44.67 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $20.89 Typical High $26.92 | Professional | 52 · Reduced service | $12.02 | $20.89 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $8.32 Typical High $10.72 | Professional | 53 · Discontinued | $4.79 | $8.32 | $10.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $18.20 Median $25.70 Typical High $39.81 | Professional | 54 · Surgery only | $18.20 | $25.70 | $39.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $6.31 Typical High $7.94 | Professional | 55 · Aftercare only | $3.63 | $6.31 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $4.17 Typical High $5.37 | Professional | 56 · Pre-op care only | $2.40 | $4.17 | $5.37 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $1,258.93 Typical High $8,709.64 | Facility | None | $1,202.26 | $1,258.93 | $8,709.64 |
Capital Blue Cross Setting Professional Modifier None Typical Low $57.54 Median $60.26 Typical High $128.82 | Professional | None | $57.54 | $60.26 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $54.95 Typical High $100.00 | Facility | None | $38.90 | $54.95 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $48.98 Typical High $75.86 | Professional | None | $25.70 | $48.98 | $75.86 |
Emblem Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Geisinger Setting Facility Modifier None Typical Low $37.15 Median $45.71 Typical High $81.28 | Facility | None | $37.15 | $45.71 | $81.28 |
Geisinger Setting Professional Modifier None Typical Low $43.65 Median $66.07 Typical High $97.72 | Professional | None | $43.65 | $66.07 | $97.72 |
Highmark BCBS Setting Facility Modifier None Typical Low $288.40 Median $295.12 Typical High $2,630.27 | Facility | None | $288.40 | $295.12 | $2,630.27 |
Highmark BCBS Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
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 $23.99 Median $44.67 Typical High $53.70 | Professional | None | $23.99 | $44.67 | $53.70 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $17.38 Typical High $26.92 | Professional | 52 · Reduced service | $12.02 | $17.38 | $26.92 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $6.92 Typical High $10.72 | Professional | 53 · Discontinued | $4.79 | $6.92 | $10.72 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $18.20 Median $25.70 Typical High $39.81 | Professional | 54 · Surgery only | $18.20 | $25.70 | $39.81 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $5.13 Typical High $7.94 | Professional | 55 · Aftercare only | $3.63 | $5.13 | $7.94 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $3.47 Typical High $5.37 | Professional | 56 · Pre-op care only | $2.40 | $3.47 | $5.37 |
Oscar Health Setting Professional Modifier None Typical Low $3.02 Median $51.29 Typical High $107.15 | Professional | None | $3.02 | $51.29 | $107.15 |
UPMC Health Plan Setting Facility Modifier None Typical Low $31.62 Median $141.25 Typical High $323.59 | Facility | None | $31.62 | $141.25 | $323.59 |
UPMC Health Plan Setting Professional Modifier None Typical Low $26.92 Median $48.98 Typical High $56.23 | Professional | None | $26.92 | $48.98 | $56.23 |
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 $26.30 Median $47.86 Typical High $79.43 | Professional | None | $26.30 | $47.86 | $79.43 |
Where Pennsylvania sits
The same service costs 3.3 times more in Alaska than in New Jersey. 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· 40th of 51
$51.29
AK $138NJ $41.69
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.