How much rates vary
Facilitymedian $417 · 10th to 90th $66 to $3,020Professionalmedian $68 · 10th to 90th $32 to $100
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 $70.79 Median $3,801.89 Typical High $8,511.38 | Facility | None | $70.79 | $3,801.89 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $70.79 Typical High $70.79 | Professional | None | $67.61 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $33.88 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $13.49 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $50.12 Median $53.70 Typical High $53.70 | Professional | 54 · Surgery only | $50.12 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.72 Typical High $10.72 | Professional | 55 · Aftercare only | $10.00 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $7.08 Typical High $7.08 | Professional | 56 · Pre-op care only | $6.76 | $7.08 | $7.08 |
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 $31.62 Median $33.11 Typical High $33.11 | Professional | None | $31.62 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $436.52 Typical High $676.08 | Facility | None | $50.12 | $436.52 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $72.44 Typical High $134.90 | Professional | None | $70.79 | $72.44 | $134.90 |
Emblem Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Geisinger Setting Facility Modifier None Typical Low $389.05 Median $489.78 Typical High $870.96 | Facility | None | $389.05 | $489.78 | $870.96 |
Geisinger Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $107.15 | Professional | None | $48.98 | $48.98 | $107.15 |
Martin's Point Setting Facility Modifier None Typical Low $263.03 Median $3,801.89 Typical High $8,709.64 | Facility | None | $263.03 | $3,801.89 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $67.61 Median $70.79 Typical High $70.79 | Professional | None | $67.61 | $70.79 | $70.79 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $33.88 | $35.48 | $35.48 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $13.49 | $14.13 | $14.13 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $50.12 Median $53.70 Typical High $53.70 | Professional | 54 · Surgery only | $50.12 | $53.70 | $53.70 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.72 Typical High $10.72 | Professional | 55 · Aftercare only | $10.00 | $10.72 | $10.72 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $7.08 Typical High $7.08 | Professional | 56 · Pre-op care only | $6.76 | $7.08 | $7.08 |
Oscar Health Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $151.36 | Professional | None | $5.01 | $5.01 | $151.36 |
UPMC Health Plan Setting Facility Modifier None Typical Low $54.95 Median $275.42 Typical High $537.03 | Facility | None | $54.95 | $275.42 | $537.03 |
UPMC Health Plan Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $60.26 | Professional | None | $54.95 | $54.95 | $60.26 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,819.70 | Facility | None | $77.62 | $158.49 | $1,819.70 |
United Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $141.25 | Professional | None | $64.57 | $75.86 | $141.25 |
Where Pennsylvania sits
The same service costs 5.5 times more in Arkansas than in Kentucky. 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· 48th of 51
$70.79
AR $331KY $60.26
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.