How much rates vary
Facilitymedian $214 · 10th to 90th $59 to $4,266Professionalmedian $95 · 10th to 90th $52 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 $120.23 Median $3,630.78 Typical High $8,511.38 | Facility | None | $120.23 | $3,630.78 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $104.71 Typical High $154.88 | Professional | None | $51.29 | $104.71 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $38.02 Typical High $64.57 | Professional | 52 · Reduced service | $25.70 | $38.02 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $15.14 Typical High $25.70 | Professional | 53 · Discontinued | $10.47 | $15.14 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $57.54 Typical High $97.72 | Professional | 54 · Surgery only | $38.90 | $57.54 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $11.48 Typical High $19.50 | Professional | 55 · Aftercare only | $7.76 | $11.48 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $7.59 Typical High $12.88 | Professional | 56 · Pre-op care only | $5.13 | $7.59 | $12.88 |
AmeriHealth Setting Professional Modifier None Typical Low $39.81 Median $66.07 Typical High $112.20 | Professional | None | $39.81 | $66.07 | $112.20 |
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 $213.80 Median $213.80 Typical High $56,234.13 | Professional | None | $213.80 | $213.80 | $56,234.13 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $120.23 | Facility | None | $50.12 | $66.07 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $95.50 Typical High $165.96 | Professional | None | $53.70 | $95.50 | $165.96 |
Emblem Health Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
Geisinger Setting Professional Modifier None Typical Low $77.62 Median $141.25 Typical High $218.78 | Professional | None | $77.62 | $141.25 | $218.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Highmark BCBS Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $151.36 | Professional | None | $114.82 | $128.82 | $151.36 |
Independence Blue Cross Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $74.13 | Professional | None | $56.23 | $66.07 | $74.13 |
Martin's Point Setting Facility Modifier None Typical Low $128.82 Median $3,630.78 Typical High $8,709.64 | Facility | None | $128.82 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $51.29 Median $104.71 Typical High $147.91 | Professional | None | $51.29 | $104.71 | $147.91 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $38.02 Typical High $64.57 | Professional | 52 · Reduced service | $25.70 | $38.02 | $64.57 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $15.14 Typical High $25.70 | Professional | 53 · Discontinued | $10.47 | $15.14 | $25.70 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $57.54 Typical High $97.72 | Professional | 54 · Surgery only | $38.90 | $57.54 | $97.72 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $11.48 Typical High $19.50 | Professional | 55 · Aftercare only | $7.76 | $11.48 | $19.50 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $7.59 Typical High $12.88 | Professional | 56 · Pre-op care only | $5.13 | $7.59 | $12.88 |
Oscar Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $218.78 | Professional | None | $102.33 | $102.33 | $218.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $69.18 Median $309.03 Typical High $676.08 | Facility | None | $69.18 | $309.03 | $676.08 |
UPMC Health Plan Setting Professional Modifier None Typical Low $58.88 Median $100.00 Typical High $131.83 | Professional | None | $58.88 | $100.00 | $131.83 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,230.27 | Facility | None | $77.62 | $158.49 | $1,230.27 |
United Setting Professional Modifier None Typical Low $56.23 Median $112.20 Typical High $190.55 | Professional | None | $56.23 | $112.20 | $190.55 |
Where Pennsylvania sits
The same service costs 3.5 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· 47th of 51
$100
AK $302NJ $85.11
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.