How much rates vary
Facilitymedian $490 · 10th to 90th $60 to $4,074Professionalmedian $30 · 10th to 90th $22 to $55
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 $30.20 Median $2,344.23 Typical High $8,317.64 | Facility | None | $30.20 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $28.84 Typical High $30.90 | Professional | None | $22.39 | $28.84 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $14.13 Typical High $14.79 | Professional | 52 · Reduced service | $11.22 | $14.13 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $5.62 Typical High $6.03 | Professional | 53 · Discontinued | $4.47 | $5.62 | $6.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $16.60 Median $20.89 Typical High $22.39 | Professional | 54 · Surgery only | $16.60 | $20.89 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.31 Median $4.17 Typical High $4.47 | Professional | 55 · Aftercare only | $3.31 | $4.17 | $4.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.82 Typical High $3.02 | Professional | 56 · Pre-op care only | $2.24 | $2.82 | $3.02 |
Ambetter Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
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 $32.36 Median $33.88 Typical High $83.18 | Professional | None | $32.36 | $33.88 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $602.56 Typical High $1,174.90 | Facility | None | $436.52 | $602.56 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $30.20 Typical High $50.12 | Professional | None | $22.91 | $30.20 | $50.12 |
Emblem Health Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Geisinger Setting Professional Modifier None Typical Low $29.51 Median $44.67 Typical High $60.26 | Professional | None | $29.51 | $44.67 | $60.26 |
Highmark BCBS Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $2,570.40 | Facility | None | $181.97 | $181.97 | $2,570.40 |
Highmark BCBS Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $60.26 | Professional | None | $54.95 | $54.95 | $60.26 |
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 $22.39 Median $28.84 Typical High $30.90 | Professional | None | $22.39 | $28.84 | $30.90 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $14.13 Typical High $14.79 | Professional | 52 · Reduced service | $11.22 | $14.13 | $14.79 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $5.75 Typical High $6.03 | Professional | 53 · Discontinued | $4.47 | $5.75 | $6.03 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $16.60 Median $21.38 Typical High $22.39 | Professional | 54 · Surgery only | $16.60 | $21.38 | $22.39 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.31 Median $4.27 Typical High $4.47 | Professional | 55 · Aftercare only | $3.31 | $4.27 | $4.47 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $2.82 Typical High $3.02 | Professional | 56 · Pre-op care only | $2.24 | $2.82 | $3.02 |
Oscar Health Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
UPMC Health Plan Setting Facility Modifier None Typical Low $22.91 Median $131.83 Typical High $245.47 | Facility | None | $22.91 | $131.83 | $245.47 |
UPMC Health Plan Setting Professional Modifier None Typical Low $22.91 Median $30.20 Typical High $31.62 | Professional | None | $22.91 | $30.20 | $31.62 |
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 $23.99 Median $31.62 Typical High $54.95 | Professional | None | $23.99 | $31.62 | $54.95 |
Where Pennsylvania sits
The same service costs 3.5 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· 42nd of 51
$31.62
AK $100NJ $28.84
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.