How much rates vary
Facilitymedian $135 · 10th to 90th $62 to $2,512Professionalmedian $95 · 10th to 90th $55 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 $56.23 Median $1,584.89 Typical High $8,511.38 | Facility | None | $56.23 | $1,584.89 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $95.50 Typical High $154.88 | Professional | None | $53.70 | $95.50 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $39.81 Typical High $64.57 | Professional | 52 · Reduced service | $26.92 | $39.81 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $15.85 Typical High $25.70 | Professional | 53 · Discontinued | $10.72 | $15.85 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $60.26 Typical High $95.50 | Professional | 54 · Surgery only | $40.74 | $60.26 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $12.02 Typical High $19.05 | Professional | 55 · Aftercare only | $8.13 | $12.02 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $7.94 Typical High $12.88 | Professional | 56 · Pre-op care only | $5.37 | $7.94 | $12.88 |
AmeriHealth Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $112.20 | Professional | None | $66.07 | $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 $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $107.15 Typical High $190.55 | Facility | None | $50.12 | $107.15 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $93.33 Typical High $162.18 | Professional | None | $54.95 | $93.33 | $162.18 |
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 Facility Modifier None Typical Low $91.20 Median $112.20 Typical High $199.53 | Facility | None | $91.20 | $112.20 | $199.53 |
Geisinger Setting Professional Modifier None Typical Low $79.43 Median $141.25 Typical High $218.78 | Professional | None | $79.43 | $141.25 | $218.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Highmark BCBS Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $141.25 | Professional | None | $114.82 | $128.82 | $141.25 |
Independence Blue Cross Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $112.20 | Professional | None | $66.07 | $66.07 | $112.20 |
Martin's Point Setting Facility Modifier None Typical Low $56.23 Median $1,584.89 Typical High $8,511.38 | Facility | None | $56.23 | $1,584.89 | $8,511.38 |
Martin's Point Setting Professional Modifier None Typical Low $53.70 Median $97.72 Typical High $147.91 | Professional | None | $53.70 | $97.72 | $147.91 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $39.81 Typical High $64.57 | Professional | 52 · Reduced service | $26.92 | $39.81 | $64.57 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $15.85 Typical High $25.70 | Professional | 53 · Discontinued | $10.72 | $15.85 | $25.70 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $60.26 Typical High $95.50 | Professional | 54 · Surgery only | $40.74 | $60.26 | $95.50 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $12.02 Typical High $19.05 | Professional | 55 · Aftercare only | $8.13 | $12.02 | $19.05 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $7.94 Typical High $12.88 | Professional | 56 · Pre-op care only | $5.37 | $7.94 | $12.88 |
Oscar Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $208.93 | Professional | None | $102.33 | $102.33 | $208.93 |
UPMC Health Plan Setting Facility Modifier None Typical Low $58.88 Median $194.98 Typical High $457.09 | Facility | None | $58.88 | $194.98 | $457.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $58.88 Median $95.50 Typical High $131.83 | Professional | None | $58.88 | $95.50 | $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 $57.54 Median $109.65 Typical High $186.21 | Professional | None | $57.54 | $109.65 | $186.21 |
Where Pennsylvania sits
The same service costs 3.2 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· 43rd of 51
$105
AK $275KY $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.