How much rates vary
Facilitymedian $427 · 10th to 90th $91 to $2,818Professionalmedian $126 · 10th to 90th $81 to $191
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 $131.83 Median $2,344.23 Typical High $8,317.64 | Facility | None | $131.83 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $123.03 Typical High $158.49 | Professional | None | $81.28 | $123.03 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $56.23 Typical High $66.07 | Professional | 52 · Reduced service | $40.74 | $56.23 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $22.39 Typical High $26.30 | Professional | 53 · Discontinued | $16.22 | $22.39 | $26.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $83.18 Typical High $100.00 | Professional | 54 · Surgery only | $60.26 | $83.18 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $16.98 Typical High $19.95 | Professional | 55 · Aftercare only | $12.30 | $16.98 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $11.22 Typical High $13.18 | Professional | 56 · Pre-op care only | $8.13 | $11.22 | $13.18 |
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 $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 $85.11 Median $245.47 Typical High $549.54 | Facility | None | $85.11 | $245.47 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $131.83 Typical High $194.98 | Professional | None | $85.11 | $131.83 | $194.98 |
Emblem Health Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Geisinger Setting Facility Modifier None Typical Low $75.86 Median $95.50 Typical High $165.96 | Facility | None | $75.86 | $95.50 | $165.96 |
Geisinger Setting Professional Modifier None Typical Low $117.49 Median $181.97 Typical High $251.19 | Professional | None | $117.49 | $181.97 | $251.19 |
Highmark BCBS Setting Facility Modifier None Typical Low $758.58 Median $1,380.38 Typical High $2,754.23 | Facility | None | $758.58 | $1,380.38 | $2,754.23 |
Martin's Point Setting Facility Modifier None Typical Low $426.58 Median $2,137.96 Typical High $7,244.36 | Facility | None | $426.58 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $81.28 Median $125.89 Typical High $162.18 | Professional | None | $81.28 | $125.89 | $162.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $57.54 Typical High $66.07 | Professional | 52 · Reduced service | $40.74 | $57.54 | $66.07 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $23.44 Typical High $26.30 | Professional | 53 · Discontinued | $16.22 | $23.44 | $26.30 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $87.10 Typical High $100.00 | Professional | 54 · Surgery only | $60.26 | $87.10 | $100.00 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $17.38 Typical High $19.95 | Professional | 55 · Aftercare only | $12.30 | $17.38 | $19.95 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $11.48 Typical High $13.18 | Professional | 56 · Pre-op care only | $8.13 | $11.48 | $13.18 |
Oscar Health Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $295.12 | Professional | None | $151.36 | $151.36 | $295.12 |
UPMC Health Plan Setting Facility Modifier None Typical Low $100.00 Median $489.78 Typical High $1,148.15 | Facility | None | $100.00 | $489.78 | $1,148.15 |
UPMC Health Plan Setting Professional Modifier None Typical Low $91.20 Median $138.04 Typical High $147.91 | Professional | None | $91.20 | $138.04 | $147.91 |
United Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $2,089.30 | Facility | None | $199.53 | $436.52 | $2,089.30 |
United Setting Professional Modifier None Typical Low $87.10 Median $134.90 Typical High $208.93 | Professional | None | $87.10 | $134.90 | $208.93 |
Where Pennsylvania sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 43rd of 51
$132
AK $372FL $117
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.