How much rates vary
Facilitymedian $100 · 10th to 90th $55 to $2,818Professionalmedian $71 · 10th to 90th $45 to $112
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 $46.77 Median $3,630.78 Typical High $8,511.38 | Facility | None | $46.77 | $3,630.78 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $63.10 Typical High $74.13 | Professional | None | $44.67 | $63.10 | $74.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $29.51 Typical High $37.15 | Professional | 52 · Reduced service | $22.39 | $29.51 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $11.75 Typical High $14.79 | Professional | 53 · Discontinued | $8.91 | $11.75 | $14.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.88 Median $43.65 Typical High $54.95 | Professional | 54 · Surgery only | $33.88 | $43.65 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $8.91 Typical High $10.96 | Professional | 55 · Aftercare only | $6.76 | $8.91 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $5.89 Typical High $7.41 | Professional | 56 · Pre-op care only | $4.47 | $5.89 | $7.41 |
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 $81.28 Median $85.11 Typical High $186.21 | Professional | None | $81.28 | $85.11 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $70.79 Typical High $120.23 | Facility | None | $50.12 | $70.79 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $69.18 Typical High $107.15 | Professional | None | $44.67 | $69.18 | $107.15 |
Emblem Health Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Geisinger Setting Facility Modifier None Typical Low $54.95 Median $67.61 Typical High $120.23 | Facility | None | $54.95 | $67.61 | $120.23 |
Geisinger Setting Professional Modifier None Typical Low $63.10 Median $100.00 Typical High $147.91 | Professional | None | $63.10 | $100.00 | $147.91 |
Highmark BCBS Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Martin's Point Setting Facility Modifier None Typical Low $74.13 Median $3,630.78 Typical High $8,709.64 | Facility | None | $74.13 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $44.67 Median $67.61 Typical High $74.13 | Professional | None | $44.67 | $67.61 | $74.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $29.51 Typical High $37.15 | Professional | 52 · Reduced service | $22.39 | $29.51 | $37.15 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $11.75 Typical High $14.79 | Professional | 53 · Discontinued | $8.91 | $11.75 | $14.79 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $33.88 Median $43.65 Typical High $54.95 | Professional | 54 · Surgery only | $33.88 | $43.65 | $54.95 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $8.71 Typical High $10.96 | Professional | 55 · Aftercare only | $6.76 | $8.71 | $10.96 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $5.89 Typical High $7.41 | Professional | 56 · Pre-op care only | $4.47 | $5.89 | $7.41 |
Oscar Health Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $147.91 | Professional | None | $97.72 | $97.72 | $147.91 |
UPMC Health Plan Setting Facility Modifier None Typical Low $56.23 Median $263.03 Typical High $602.56 | Facility | None | $56.23 | $263.03 | $602.56 |
UPMC Health Plan Setting Professional Modifier None Typical Low $51.29 Median $77.62 Typical High $81.28 | Professional | None | $51.29 | $77.62 | $81.28 |
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 $47.86 Median $70.79 Typical High $114.82 | Professional | None | $47.86 | $70.79 | $114.82 |
Where Pennsylvania sits
The same service costs 3.4 times more in Alaska than in New York. 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· 38th of 51
$74.13
AK $209NY $61.66
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.