How much rates vary
Facilitymedian $692 · 10th to 90th $105 to $4,898Professionalmedian $141 · 10th to 90th $83 to $234
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 $147.91 Median $2,570.40 Typical High $8,317.64 | Facility | None | $147.91 | $2,570.40 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $134.90 Typical High $186.21 | Professional | None | $81.28 | $134.90 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $57.54 Typical High $74.13 | Professional | 52 · Reduced service | $40.74 | $57.54 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $22.91 Typical High $29.51 | Professional | 53 · Discontinued | $16.22 | $22.91 | $29.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $85.11 Typical High $109.65 | Professional | 54 · Surgery only | $61.66 | $85.11 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $16.98 Typical High $21.88 | Professional | 55 · Aftercare only | $12.30 | $16.98 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $11.75 Typical High $14.79 | Professional | 56 · Pre-op care only | $8.13 | $11.75 | $14.79 |
Ambetter Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
AmeriHealth Setting Facility Modifier None Typical Low $4,168.69 Median $8,912.51 Typical High $22,387.21 | Facility | None | $4,168.69 | $8,912.51 | $22,387.21 |
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 $154.88 Median $162.18 Typical High $354.81 | Professional | None | $154.88 | $162.18 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $302.00 Typical High $691.83 | Facility | None | $102.33 | $302.00 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $144.54 Typical High $208.93 | Professional | None | $85.11 | $144.54 | $208.93 |
Emblem Health Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Geisinger Setting Facility Modifier None Typical Low $91.20 Median $114.82 Typical High $199.53 | Facility | None | $91.20 | $114.82 | $199.53 |
Geisinger Setting Professional Modifier None Typical Low $141.25 Median $199.53 Typical High $275.42 | Professional | None | $141.25 | $199.53 | $275.42 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $2,238.72 Typical High $10,471.29 | Facility | None | $1,230.27 | $2,238.72 | $10,471.29 |
Highmark BCBS Setting Professional Modifier None Typical Low $144.54 Median $154.88 Typical High $162.18 | Professional | None | $144.54 | $154.88 | $162.18 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1,096.48 Median $4,073.80 Typical High $10,471.29 | Facility | None | $1,096.48 | $4,073.80 | $10,471.29 |
Martin's Point Setting Facility Modifier None Typical Low $147.91 Median $2,454.71 Typical High $7,244.36 | Facility | None | $147.91 | $2,454.71 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $81.28 Median $138.04 Typical High $186.21 | Professional | None | $81.28 | $138.04 | $186.21 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $58.88 Typical High $74.13 | Professional | 52 · Reduced service | $40.74 | $58.88 | $74.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $23.44 Typical High $29.51 | Professional | 53 · Discontinued | $16.22 | $23.44 | $29.51 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $89.13 Typical High $109.65 | Professional | 54 · Surgery only | $61.66 | $89.13 | $109.65 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $17.78 Typical High $21.88 | Professional | 55 · Aftercare only | $12.30 | $17.78 | $21.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $11.75 Typical High $14.79 | Professional | 56 · Pre-op care only | $8.13 | $11.75 | $14.79 |
Oscar Health Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $91.20 Median $676.08 Typical High $1,862.09 | Facility | None | $91.20 | $676.08 | $1,862.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $91.20 Median $138.04 Typical High $154.88 | Professional | None | $91.20 | $138.04 | $154.88 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $2,511.89 | Facility | None | $416.87 | $724.44 | $2,511.89 |
United Setting Professional Modifier None Typical Low $87.10 Median $144.54 Typical High $239.88 | Professional | None | $87.10 | $144.54 | $239.88 |
Where Pennsylvania sits
The same service costs 3.2 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· 41st of 51
$148
AK $407NJ $129
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.