How much rates vary
Facilitymedian $151 · 10th to 90th $71 to $2,512Professionalmedian $107 · 10th to 90th $63 to $186
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 $134.90 Median $3,630.78 Typical High $8,511.38 | Facility | None | $134.90 | $3,630.78 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $112.20 Typical High $177.83 | Professional | None | $63.10 | $112.20 | $177.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $46.77 Typical High $72.44 | Professional | 52 · Reduced service | $31.62 | $46.77 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $19.05 Typical High $28.84 | Professional | 53 · Discontinued | $12.88 | $19.05 | $28.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $70.79 Typical High $107.15 | Professional | 54 · Surgery only | $47.86 | $70.79 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $14.13 Typical High $21.88 | Professional | 55 · Aftercare only | $9.55 | $14.13 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $9.33 Typical High $14.45 | Professional | 56 · Pre-op care only | $6.31 | $9.33 | $14.45 |
AmeriHealth Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $79.43 | Professional | None | $74.13 | $74.13 | $79.43 |
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 $162.18 Median $162.18 Typical High $275.42 | Professional | None | $162.18 | $162.18 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $117.49 Typical High $213.80 | Facility | None | $50.12 | $117.49 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $107.15 Typical High $190.55 | Professional | None | $63.10 | $107.15 | $190.55 |
Emblem Health Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Geisinger Setting Facility Modifier None Typical Low $102.33 Median $125.89 Typical High $223.87 | Facility | None | $102.33 | $125.89 | $223.87 |
Geisinger Setting Professional Modifier None Typical Low $89.13 Median $162.18 Typical High $251.19 | Professional | None | $89.13 | $162.18 | $251.19 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Highmark BCBS Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $162.18 | Professional | None | $128.82 | $151.36 | $162.18 |
Independence Blue Cross Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $77.62 | Professional | None | $74.13 | $74.13 | $77.62 |
Martin's Point Setting Facility Modifier None Typical Low $144.54 Median $3,630.78 Typical High $8,709.64 | Facility | None | $144.54 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $63.10 Median $112.20 Typical High $158.49 | Professional | None | $63.10 | $112.20 | $158.49 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $46.77 Typical High $72.44 | Professional | 52 · Reduced service | $31.62 | $46.77 | $72.44 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $19.05 Typical High $28.84 | Professional | 53 · Discontinued | $12.88 | $19.05 | $28.84 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $70.79 Typical High $107.15 | Professional | 54 · Surgery only | $47.86 | $70.79 | $107.15 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $14.13 Typical High $21.88 | Professional | 55 · Aftercare only | $9.55 | $14.13 | $21.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $9.33 Typical High $14.45 | Professional | 56 · Pre-op care only | $6.31 | $9.33 | $14.45 |
Oscar Health Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $239.88 | Professional | None | $114.82 | $114.82 | $239.88 |
UPMC Health Plan Setting Facility Modifier None Typical Low $79.43 Median $309.03 Typical High $707.95 | Facility | None | $79.43 | $309.03 | $707.95 |
UPMC Health Plan Setting Professional Modifier None Typical Low $74.13 Median $109.65 Typical High $151.36 | Professional | None | $74.13 | $109.65 | $151.36 |
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 $69.18 Median $128.82 Typical High $218.78 | Professional | None | $69.18 | $128.82 | $218.78 |
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· 46th of 51
$115
AK $309KY $97.72
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.