How much rates vary
Facilitymedian $170 · 10th to 90th $78 to $2,239Professionalmedian $138 · 10th to 90th $83 to $209
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 $158.49 Median $3,630.78 Typical High $8,511.38 | Facility | None | $158.49 | $3,630.78 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $131.83 Typical High $169.82 | Professional | None | $83.18 | $131.83 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $58.88 Typical High $85.11 | Professional | 52 · Reduced service | $41.69 | $58.88 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $23.99 Typical High $33.88 | Professional | 53 · Discontinued | $16.60 | $23.99 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $89.13 Typical High $125.89 | Professional | 54 · Surgery only | $63.10 | $89.13 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $17.78 Typical High $25.12 | Professional | 55 · Aftercare only | $12.59 | $17.78 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $12.02 Typical High $16.98 | Professional | 56 · Pre-op care only | $8.32 | $12.02 | $16.98 |
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 $56,234.13 Median $56,234.13 Typical High $56,234.13 | Professional | None | $56,234.13 | $56,234.13 | $56,234.13 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $144.54 Typical High $338.84 | Facility | None | $50.12 | $144.54 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $134.90 Typical High $223.87 | Professional | None | $85.11 | $134.90 | $223.87 |
Emblem Health Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Geisinger Setting Facility Modifier None Typical Low $112.20 Median $141.25 Typical High $251.19 | Facility | None | $112.20 | $141.25 | $251.19 |
Geisinger Setting Professional Modifier None Typical Low $120.23 Median $194.98 Typical High $295.12 | Professional | None | $120.23 | $194.98 | $295.12 |
Highmark BCBS Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Highmark BCBS Setting Professional Modifier None Typical Low $165.96 Median $177.83 Typical High $186.21 | Professional | None | $165.96 | $177.83 | $186.21 |
Martin's Point Setting Facility Modifier None Typical Low $169.82 Median $3,630.78 Typical High $8,709.64 | Facility | None | $169.82 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $83.18 Median $131.83 Typical High $169.82 | Professional | None | $83.18 | $131.83 | $169.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $58.88 Typical High $85.11 | Professional | 52 · Reduced service | $41.69 | $58.88 | $85.11 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $23.99 Typical High $33.88 | Professional | 53 · Discontinued | $16.60 | $23.99 | $33.88 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $89.13 Typical High $125.89 | Professional | 54 · Surgery only | $63.10 | $89.13 | $125.89 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $17.78 Typical High $25.12 | Professional | 55 · Aftercare only | $12.59 | $17.78 | $25.12 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $12.02 Typical High $16.98 | Professional | 56 · Pre-op care only | $8.32 | $12.02 | $16.98 |
Oscar Health Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $302.00 | Professional | None | $147.91 | $147.91 | $302.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $102.33 Median $489.78 Typical High $1,148.15 | Facility | None | $102.33 | $489.78 | $1,148.15 |
UPMC Health Plan Setting Professional Modifier None Typical Low $93.33 Median $138.04 Typical High $177.83 | Professional | None | $93.33 | $138.04 | $177.83 |
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 $89.13 Median $158.49 Typical High $257.04 | Professional | None | $89.13 | $158.49 | $257.04 |
Where Pennsylvania sits
The same service costs 3.3 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· 44th of 51
$145
AK $398MD $120
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.