How much rates vary
Facilitymedian $447 · 10th to 90th $55 to $4,266Professionalmedian $51 · 10th to 90th $26 to $76
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 $54.95 Median $2,344.23 Typical High $8,317.64 | Facility | None | $54.95 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $47.86 Typical High $54.95 | Professional | None | $25.12 | $47.86 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $18.62 Typical High $27.54 | Professional | 52 · Reduced service | $12.59 | $18.62 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $9.55 Typical High $10.96 | Professional | 53 · Discontinued | $5.13 | $9.55 | $10.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $19.05 Median $27.54 Typical High $41.69 | Professional | 54 · Surgery only | $19.05 | $27.54 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $5.50 Typical High $8.32 | Professional | 55 · Aftercare only | $3.80 | $5.50 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $4.79 Typical High $5.50 | Professional | 56 · Pre-op care only | $2.51 | $4.79 | $5.50 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,511.89 Median $2,570.40 Typical High $56,234.13 | Facility | None | $2,511.89 | $2,570.40 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $51.29 Median $85.11 Typical High $107.15 | Professional | None | $51.29 | $85.11 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $100.00 Typical High $2,290.87 | Facility | None | $50.12 | $100.00 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $54.95 Typical High $81.28 | Professional | None | $26.30 | $54.95 | $81.28 |
Emblem Health Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Geisinger Setting Professional Modifier None Typical Low $35.48 Median $77.62 Typical High $112.20 | Professional | None | $35.48 | $77.62 | $112.20 |
Martin's Point Setting Facility Modifier None Typical Low $478.63 Median $2,137.96 Typical High $7,244.36 | Facility | None | $478.63 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $25.12 Median $51.29 Typical High $54.95 | Professional | None | $25.12 | $51.29 | $54.95 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $18.62 Typical High $27.54 | Professional | 52 · Reduced service | $12.59 | $18.62 | $27.54 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $10.23 Typical High $10.96 | Professional | 53 · Discontinued | $5.13 | $10.23 | $10.96 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $19.05 Median $27.54 Typical High $41.69 | Professional | 54 · Surgery only | $19.05 | $27.54 | $41.69 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $5.50 Typical High $8.32 | Professional | 55 · Aftercare only | $3.80 | $5.50 | $8.32 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $5.13 Typical High $5.50 | Professional | 56 · Pre-op care only | $2.51 | $5.13 | $5.50 |
Oscar Health Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $120.23 | Professional | None | $40.74 | $40.74 | $120.23 |
UPMC Health Plan Setting Facility Modifier None Typical Low $43.65 Median $263.03 Typical High $575.44 | Facility | None | $43.65 | $263.03 | $575.44 |
UPMC Health Plan Setting Professional Modifier None Typical Low $28.84 Median $57.54 Typical High $66.07 | Professional | None | $28.84 | $57.54 | $66.07 |
United Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $1,230.27 | Facility | None | $70.79 | $141.25 | $1,230.27 |
United Setting Professional Modifier None Typical Low $27.54 Median $51.29 Typical High $91.20 | Professional | None | $27.54 | $51.29 | $91.20 |
Where Pennsylvania sits
The same service costs 4.0 times more in Alaska than in Texas. 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· 34th of 51
$54.95
AK $148TX $37.15
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.