How much rates vary
Facilitymedian $457 · 10th to 90th $60 to $4,898Professionalmedian $81 · 10th to 90th $49 to $126
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 $85.11 Median $2,344.23 Typical High $8,317.64 | Facility | None | $85.11 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $79.43 Typical High $114.82 | Professional | None | $47.86 | $79.43 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $35.48 Typical High $42.66 | Professional | 52 · Reduced service | $23.99 | $35.48 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $14.79 Typical High $16.98 | Professional | 53 · Discontinued | $9.55 | $14.79 | $16.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $35.48 Median $53.70 Typical High $63.10 | Professional | 54 · Surgery only | $35.48 | $53.70 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $10.96 Typical High $12.59 | Professional | 55 · Aftercare only | $7.08 | $10.96 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $7.24 Typical High $8.51 | Professional | 56 · Pre-op care only | $4.79 | $7.24 | $8.51 |
AmeriHealth Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $5,011.87 Typical High $56,234.13 | Facility | None | $3,981.07 | $5,011.87 | $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 $66.07 Typical High $120.23 | Facility | None | $50.12 | $66.07 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $85.11 Typical High $131.83 | Professional | None | $51.29 | $85.11 | $131.83 |
Emblem Health Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Geisinger Setting Professional Modifier None Typical Low $85.11 Median $125.89 Typical High $173.78 | Professional | None | $85.11 | $125.89 | $173.78 |
Independence Blue Cross Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $97.72 | Professional | None | $87.10 | $87.10 | $97.72 |
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 $47.86 Median $79.43 Typical High $112.20 | Professional | None | $47.86 | $79.43 | $112.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $34.67 Typical High $42.66 | Professional | 52 · Reduced service | $23.99 | $34.67 | $42.66 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $14.13 Typical High $16.98 | Professional | 53 · Discontinued | $9.55 | $14.13 | $16.98 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $35.48 Median $52.48 Typical High $63.10 | Professional | 54 · Surgery only | $35.48 | $52.48 | $63.10 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $10.47 Typical High $12.59 | Professional | 55 · Aftercare only | $7.08 | $10.47 | $12.59 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $7.08 Typical High $8.51 | Professional | 56 · Pre-op care only | $4.79 | $7.08 | $8.51 |
Oscar Health Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $204.17 | Professional | None | $120.23 | $120.23 | $204.17 |
UPMC Health Plan Setting Facility Modifier None Typical Low $54.95 Median $891.25 Typical High $2,344.23 | Facility | None | $54.95 | $891.25 | $2,344.23 |
UPMC Health Plan Setting Professional Modifier None Typical Low $54.95 Median $89.13 Typical High $100.00 | Professional | None | $54.95 | $89.13 | $100.00 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,445.44 | Facility | None | $77.62 | $158.49 | $1,445.44 |
United Setting Professional Modifier None Typical Low $51.29 Median $87.10 Typical High $144.54 | Professional | None | $51.29 | $87.10 | $144.54 |
Where Pennsylvania sits
The same service costs 3.2 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· 46th of 51
$85.11
AK $245NY $77.62
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.