How much rates vary
Facilitymedian $457 · 10th to 90th $100 to $4,266Professionalmedian $331 · 10th to 90th $219 to $513
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 $346.74 Median $3,801.89 Typical High $8,317.64 | Facility | None | $346.74 | $3,801.89 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $346.74 | Professional | None | $218.78 | $257.04 | $346.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $128.82 Typical High $173.78 | Professional | 52 · Reduced service | $109.65 | $128.82 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $51.29 Typical High $69.18 | Professional | 53 · Discontinued | $44.67 | $51.29 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $194.98 Typical High $263.03 | Professional | 54 · Surgery only | $165.96 | $194.98 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $38.90 Typical High $52.48 | Professional | 55 · Aftercare only | $33.11 | $38.90 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $25.70 Typical High $34.67 | Professional | 56 · Pre-op care only | $21.88 | $25.70 | $34.67 |
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 $371.54 Median $380.19 Typical High $724.44 | Professional | None | $371.54 | $380.19 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $489.78 Typical High $1,000.00 | Facility | None | $239.88 | $489.78 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $295.12 Typical High $489.78 | Professional | None | $204.17 | $295.12 | $489.78 |
Emblem Health Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Geisinger Setting Facility Modifier None Typical Low $218.78 Median $269.15 Typical High $478.63 | Facility | None | $218.78 | $269.15 | $478.63 |
Geisinger Setting Professional Modifier None Typical Low $269.15 Median $436.52 Typical High $676.08 | Professional | None | $269.15 | $436.52 | $676.08 |
Martin's Point Setting Facility Modifier None Typical Low $588.84 Median $3,715.35 Typical High $8,317.64 | Facility | None | $588.84 | $3,715.35 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $218.78 Median $323.59 Typical High $346.74 | Professional | None | $218.78 | $323.59 | $346.74 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $128.82 Typical High $173.78 | Professional | 52 · Reduced service | $109.65 | $128.82 | $173.78 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $51.29 Typical High $69.18 | Professional | 53 · Discontinued | $44.67 | $51.29 | $69.18 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $190.55 Typical High $263.03 | Professional | 54 · Surgery only | $165.96 | $190.55 | $263.03 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $38.90 Typical High $52.48 | Professional | 55 · Aftercare only | $33.11 | $38.90 | $52.48 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $25.70 Typical High $34.67 | Professional | 56 · Pre-op care only | $21.88 | $25.70 | $34.67 |
Oscar Health Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $630.96 | Professional | None | $331.13 | $331.13 | $630.96 |
UPMC Health Plan Setting Facility Modifier None Typical Low $213.80 Median $1,348.96 Typical High $3,090.30 | Facility | None | $213.80 | $1,348.96 | $3,090.30 |
UPMC Health Plan Setting Professional Modifier None Typical Low $213.80 Median $269.15 Typical High $363.08 | Professional | None | $213.80 | $269.15 | $363.08 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,348.96 | Facility | None | $77.62 | $158.49 | $1,348.96 |
United Setting Professional Modifier None Typical Low $234.42 Median $331.13 Typical High $562.34 | Professional | None | $234.42 | $331.13 | $562.34 |
Where Pennsylvania sits
The same service costs 4.0 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· 41st of 51
$331
AK $1,023NY $257
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.