How much rates vary
Facilitymedian $200 · 10th to 90th $32 to $3,981Professionalmedian $29 · 10th to 90th $13 to $50
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 $17.38 Median $1,819.70 Typical High $7,943.28 | Facility | None | $17.38 | $1,819.70 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $26.92 Typical High $38.90 | Professional | None | $13.18 | $26.92 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $10.23 Typical High $16.22 | Professional | 52 · Reduced service | $6.61 | $10.23 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $4.27 Typical High $6.46 | Professional | 53 · Discontinued | $2.63 | $4.27 | $6.46 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $10.00 Median $15.49 Typical High $24.55 | Professional | 54 · Surgery only | $10.00 | $15.49 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.00 Median $3.24 Typical High $4.90 | Professional | 55 · Aftercare only | $2.00 | $3.24 | $4.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.32 Median $2.14 Typical High $3.24 | Professional | 56 · Pre-op care only | $1.32 | $2.14 | $3.24 |
Ambetter Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
AmeriHealth Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $24.55 | Professional | None | $15.49 | $15.49 | $24.55 |
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 $32.36 Median $33.11 Typical High $75.86 | Professional | None | $32.36 | $33.11 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $389.05 | Facility | None | $50.12 | $66.07 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $28.18 Typical High $41.69 | Professional | None | $13.18 | $28.18 | $41.69 |
Emblem Health Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Geisinger Setting Professional Modifier None Typical Low $22.91 Median $37.15 Typical High $54.95 | Professional | None | $22.91 | $37.15 | $54.95 |
Highmark BCBS Setting Facility Modifier None Typical Low $72.44 Median $117.49 Typical High $4,073.80 | Facility | None | $72.44 | $117.49 | $4,073.80 |
Independence Blue Cross Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $24.55 | Professional | None | $15.49 | $15.49 | $24.55 |
Martin's Point Setting Facility Modifier None Typical Low $17.38 Median $1,737.80 Typical High $6,606.93 | Facility | None | $17.38 | $1,737.80 | $6,606.93 |
Martin's Point Setting Professional Modifier None Typical Low $13.18 Median $28.84 Typical High $38.02 | Professional | None | $13.18 | $28.84 | $38.02 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $10.23 Typical High $16.22 | Professional | 52 · Reduced service | $6.61 | $10.23 | $16.22 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $4.17 Typical High $6.46 | Professional | 53 · Discontinued | $2.63 | $4.17 | $6.46 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $10.00 Median $15.49 Typical High $24.55 | Professional | 54 · Surgery only | $10.00 | $15.49 | $24.55 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2.00 Median $3.09 Typical High $4.90 | Professional | 55 · Aftercare only | $2.00 | $3.09 | $4.90 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.32 Median $2.04 Typical High $3.24 | Professional | 56 · Pre-op care only | $1.32 | $2.04 | $3.24 |
Oscar Health Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $61.66 | Professional | None | $33.11 | $33.11 | $61.66 |
UPMC Health Plan Setting Facility Modifier None Typical Low $19.95 Median $141.25 Typical High $316.23 | Facility | None | $19.95 | $141.25 | $316.23 |
UPMC Health Plan Setting Professional Modifier None Typical Low $14.45 Median $28.18 Typical High $31.62 | Professional | None | $14.45 | $28.18 | $31.62 |
United Setting Facility Modifier None Typical Low $75.86 Median $151.36 Typical High $1,230.27 | Facility | None | $75.86 | $151.36 | $1,230.27 |
United Setting Professional Modifier None Typical Low $13.18 Median $27.54 Typical High $45.71 | Professional | None | $13.18 | $27.54 | $45.71 |
Where Pennsylvania sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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· 39th of 51
$29.51
AK $83.18NJ $23.99
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.