How much rates vary
Facilitymedian $129 · 10th to 90th $65 to $2,239Professionalmedian $74 · 10th to 90th $40 to $135
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 $74.13 Median $2,818.38 Typical High $8,511.38 | Facility | None | $74.13 | $2,818.38 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $75.86 Typical High $125.89 | Professional | None | $39.81 | $75.86 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $28.84 Typical High $54.95 | Professional | 52 · Reduced service | $19.50 | $28.84 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $13.18 Typical High $21.88 | Professional | 53 · Discontinued | $7.94 | $13.18 | $21.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $29.51 Median $43.65 Typical High $81.28 | Professional | 54 · Surgery only | $29.51 | $43.65 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $9.77 Typical High $16.22 | Professional | 55 · Aftercare only | $5.89 | $9.77 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $6.61 Typical High $10.96 | Professional | 56 · Pre-op care only | $3.98 | $6.61 | $10.96 |
Ambetter Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
AmeriHealth Setting Professional Modifier None Typical Low $33.11 Median $54.95 Typical High $54.95 | Professional | None | $33.11 | $54.95 | $54.95 |
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 $114.82 Median $114.82 Typical High $165.96 | Professional | None | $114.82 | $114.82 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $100.00 Typical High $169.82 | Facility | None | $50.12 | $100.00 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $74.13 Typical High $134.90 | Professional | None | $38.02 | $74.13 | $134.90 |
Emblem Health Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Geisinger Setting Facility Modifier None Typical Low $81.28 Median $102.33 Typical High $177.83 | Facility | None | $81.28 | $102.33 | $177.83 |
Geisinger Setting Professional Modifier None Typical Low $53.70 Median $114.82 Typical High $186.21 | Professional | None | $53.70 | $114.82 | $186.21 |
Highmark BCBS Setting Facility Modifier None Typical Low $239.88 Median $741.31 Typical High $891.25 | Facility | None | $239.88 | $741.31 | $891.25 |
Highmark BCBS Setting Professional Modifier None Typical Low $93.33 Median $104.71 Typical High $123.03 | Professional | None | $93.33 | $104.71 | $123.03 |
Independence Blue Cross Setting Professional Modifier None Typical Low $46.77 Median $54.95 Typical High $54.95 | Professional | None | $46.77 | $54.95 | $54.95 |
Martin's Point Setting Facility Modifier None Typical Low $109.65 Median $2,818.38 Typical High $8,511.38 | Facility | None | $109.65 | $2,818.38 | $8,511.38 |
Martin's Point Setting Professional Modifier None Typical Low $39.81 Median $74.13 Typical High $120.23 | Professional | None | $39.81 | $74.13 | $120.23 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $28.84 Typical High $54.95 | Professional | 52 · Reduced service | $19.50 | $28.84 | $54.95 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $11.48 Typical High $21.88 | Professional | 53 · Discontinued | $7.94 | $11.48 | $21.88 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $29.51 Median $43.65 Typical High $81.28 | Professional | 54 · Surgery only | $29.51 | $43.65 | $81.28 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $8.71 Typical High $16.22 | Professional | 55 · Aftercare only | $5.89 | $8.71 | $16.22 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $5.75 Typical High $10.96 | Professional | 56 · Pre-op care only | $3.98 | $5.75 | $10.96 |
Oscar Health Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $165.96 | Professional | None | $81.28 | $81.28 | $165.96 |
UPMC Health Plan Setting Facility Modifier None Typical Low $46.77 Median $194.98 Typical High $457.09 | Facility | None | $46.77 | $194.98 | $457.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $44.67 Median $75.86 Typical High $112.20 | Professional | None | $44.67 | $75.86 | $112.20 |
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 $42.66 Median $87.10 Typical High $158.49 | Professional | None | $42.66 | $87.10 | $158.49 |
Where Pennsylvania sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 42nd of 51
$87.10
AK $229KY $66.07
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.