How much rates vary
Facilitymedian $195 · 10th to 90th $63 to $4,266Professionalmedian $115 · 10th to 90th $62 to $174
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 $131.83 Median $3,630.78 Typical High $8,511.38 | Facility | None | $131.83 | $3,630.78 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $117.49 Typical High $165.96 | Professional | None | $61.66 | $117.49 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $44.67 Typical High $70.79 | Professional | 52 · Reduced service | $30.20 | $44.67 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $17.78 Typical High $28.18 | Professional | 53 · Discontinued | $12.30 | $17.78 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $45.71 Median $67.61 Typical High $107.15 | Professional | 54 · Surgery only | $45.71 | $67.61 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $13.49 Typical High $21.38 | Professional | 55 · Aftercare only | $9.12 | $13.49 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $8.91 Typical High $14.13 | Professional | 56 · Pre-op care only | $6.17 | $8.91 | $14.13 |
AmeriHealth Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $77.62 | Professional | None | $72.44 | $72.44 | $77.62 |
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 $257.04 Median $257.04 Typical High $56,234.13 | Professional | None | $257.04 | $257.04 | $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 $64.57 Median $114.82 Typical High $186.21 | Professional | None | $64.57 | $114.82 | $186.21 |
Emblem Health Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Geisinger Setting Professional Modifier None Typical Low $89.13 Median $158.49 Typical High $245.47 | Professional | None | $89.13 | $158.49 | $245.47 |
Highmark BCBS Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $147.91 | Professional | None | $123.03 | $144.54 | $147.91 |
Independence Blue Cross Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $77.62 | Professional | None | $72.44 | $72.44 | $77.62 |
Martin's Point Setting Facility Modifier None Typical Low $141.25 Median $3,630.78 Typical High $8,709.64 | Facility | None | $141.25 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $61.66 Median $123.03 Typical High $154.88 | Professional | None | $61.66 | $123.03 | $154.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $44.67 Typical High $70.79 | Professional | 52 · Reduced service | $30.20 | $44.67 | $70.79 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $17.78 Typical High $28.18 | Professional | 53 · Discontinued | $12.30 | $17.78 | $28.18 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $45.71 Median $67.61 Typical High $107.15 | Professional | 54 · Surgery only | $45.71 | $67.61 | $107.15 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $13.49 Typical High $21.38 | Professional | 55 · Aftercare only | $9.12 | $13.49 | $21.38 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $8.91 Typical High $14.13 | Professional | 56 · Pre-op care only | $6.17 | $8.91 | $14.13 |
Oscar Health Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $257.04 | Professional | None | $120.23 | $120.23 | $257.04 |
UPMC Health Plan Setting Facility Modifier None Typical Low $72.44 Median $489.78 Typical High $1,071.52 | Facility | None | $72.44 | $489.78 | $1,071.52 |
UPMC Health Plan Setting Professional Modifier None Typical Low $69.18 Median $109.65 Typical High $147.91 | Professional | None | $69.18 | $109.65 | $147.91 |
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 $66.07 Median $125.89 Typical High $213.80 | Professional | None | $66.07 | $125.89 | $213.80 |
Where Pennsylvania sits
The same service costs 3.5 times more in Alaska than in Maryland. 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
$115
AK $355MD $100
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.