How much rates vary
Facilitymedian $1,514 · 10th to 90th $132 to $6,166Professionalmedian $105 · 10th to 90th $93 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 $436.52 Median $2,344.23 Typical High $8,317.64 | Facility | None | $436.52 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $95.50 Typical High $131.83 | Professional | None | $93.33 | $95.50 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $47.86 Typical High $48.98 | Professional | 52 · Reduced service | $46.77 | $47.86 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $18.62 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $72.44 Typical High $74.13 | Professional | 54 · Surgery only | $69.18 | $72.44 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $14.45 Typical High $14.79 | Professional | 55 · Aftercare only | $13.80 | $14.45 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.55 Typical High $9.77 | Professional | 56 · Pre-op care only | $9.33 | $9.55 | $9.77 |
Ambetter Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $91.20 | Professional | None | $89.13 | $89.13 | $91.20 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $151.36 Median $169.82 Typical High $190.55 | Professional | None | $151.36 | $169.82 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $204.17 | Professional | None | $97.72 | $117.49 | $204.17 |
Emblem Health Setting Professional Modifier None Typical Low $128.82 Median $144.54 Typical High $162.18 | Professional | None | $128.82 | $144.54 | $162.18 |
Geisinger Setting Professional Modifier None Typical Low $97.72 Median $125.89 Typical High $229.09 | Professional | None | $97.72 | $125.89 | $229.09 |
Highmark BCBS Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
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 $93.33 Median $95.50 Typical High $120.23 | Professional | None | $93.33 | $95.50 | $120.23 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $47.86 Typical High $48.98 | Professional | 52 · Reduced service | $46.77 | $47.86 | $48.98 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $18.62 | $19.50 | $19.50 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $72.44 Typical High $74.13 | Professional | 54 · Surgery only | $69.18 | $72.44 | $74.13 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $14.45 Typical High $14.79 | Professional | 55 · Aftercare only | $13.80 | $14.45 | $14.79 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.55 Typical High $9.77 | Professional | 56 · Pre-op care only | $9.33 | $9.55 | $9.77 |
Oscar Health Setting Professional Modifier None Typical Low $154.88 Median $177.83 Typical High $223.87 | Professional | None | $154.88 | $177.83 | $223.87 |
UPMC Health Plan Setting Facility Modifier None Typical Low $104.71 Median $977.24 Typical High $1,862.09 | Facility | None | $104.71 | $977.24 | $1,862.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $104.71 Median $114.82 Typical High $123.03 | Professional | None | $104.71 | $114.82 | $123.03 |
United Setting Facility Modifier None Typical Low $354.81 Median $977.24 Typical High $3,890.45 | Facility | None | $354.81 | $977.24 | $3,890.45 |
United Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $213.80 | Professional | None | $93.33 | $114.82 | $213.80 |
Where Pennsylvania sits
The same service costs 3.5 times more in Wisconsin 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· 45th of 51
$105
WI $316NY $89.13
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.