How much rates vary
Facilitymedian $224 · 10th to 90th $35 to $2,239Professionalmedian $51 · 10th to 90th $35 to $89
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 $43.65 Median $616.60 Typical High $5,888.44 | Facility | None | $43.65 | $616.60 | $5,888.44 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $47.86 Typical High $61.66 | Professional | None | $33.88 | $47.86 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $23.99 Typical High $27.54 | Professional | 52 · Reduced service | $16.98 | $23.99 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $9.55 Typical High $11.22 | Professional | 53 · Discontinued | $6.76 | $9.55 | $11.22 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $25.70 Median $35.48 Typical High $41.69 | Professional | 54 · Surgery only | $25.70 | $35.48 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $7.08 Typical High $8.32 | Professional | 55 · Aftercare only | $5.13 | $7.08 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $4.79 Typical High $5.62 | Professional | 56 · Pre-op care only | $3.39 | $4.79 | $5.62 |
Ambetter Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
AmeriHealth Setting Facility Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,466.84 | $4,466.84 | $4,466.84 |
AmeriHealth Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $63.10 | Professional | None | $47.86 | $56.23 | $63.10 |
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 $51.29 Median $53.70 Typical High $114.82 | Professional | None | $51.29 | $53.70 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $245.47 Typical High $549.54 | Facility | None | $30.20 | $245.47 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $48.98 Typical High $85.11 | Professional | None | $32.36 | $48.98 | $85.11 |
Emblem Health Setting Professional Modifier None Typical Low $67.61 Median $87.10 Typical High $87.10 | Professional | None | $67.61 | $87.10 | $87.10 |
Geisinger Setting Facility Modifier None Typical Low $27.54 Median $33.88 Typical High $60.26 | Facility | None | $27.54 | $33.88 | $60.26 |
Geisinger Setting Professional Modifier None Typical Low $33.11 Median $54.95 Typical High $91.20 | Professional | None | $33.11 | $54.95 | $91.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $57.54 Median $645.65 Typical High $1,202.26 | Facility | None | $57.54 | $645.65 | $1,202.26 |
Highmark BCBS Setting Professional Modifier None Typical Low $54.95 Median $66.07 Typical High $81.28 | Professional | None | $54.95 | $66.07 | $81.28 |
Independence Blue Cross Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $4,466.84 | Facility | None | $707.95 | $891.25 | $4,466.84 |
Independence Blue Cross Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $63.10 | Professional | None | $47.86 | $56.23 | $63.10 |
Martin's Point Setting Facility Modifier None Typical Low $43.65 Median $660.69 Typical High $5,495.41 | Facility | None | $43.65 | $660.69 | $5,495.41 |
Martin's Point Setting Professional Modifier None Typical Low $33.88 Median $47.86 Typical High $60.26 | Professional | None | $33.88 | $47.86 | $60.26 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $23.44 Typical High $27.54 | Professional | 52 · Reduced service | $16.98 | $23.44 | $27.54 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $9.55 Typical High $11.22 | Professional | 53 · Discontinued | $6.76 | $9.55 | $11.22 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $25.70 Median $35.48 Typical High $41.69 | Professional | 54 · Surgery only | $25.70 | $35.48 | $41.69 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $7.08 Typical High $8.32 | Professional | 55 · Aftercare only | $5.13 | $7.08 | $8.32 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $4.68 Typical High $5.62 | Professional | 56 · Pre-op care only | $3.39 | $4.68 | $5.62 |
Oscar Health Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $104.71 | Professional | None | $61.66 | $72.44 | $104.71 |
UPMC Health Plan Setting Facility Modifier None Typical Low $46.77 Median $102.33 Typical High $239.88 | Facility | None | $46.77 | $102.33 | $239.88 |
UPMC Health Plan Setting Professional Modifier None Typical Low $36.31 Median $51.29 Typical High $60.26 | Professional | None | $36.31 | $51.29 | $60.26 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,230.27 | Facility | None | $77.62 | $158.49 | $1,230.27 |
United Setting Professional Modifier None Typical Low $37.15 Median $51.29 Typical High $75.86 | Professional | None | $37.15 | $51.29 | $75.86 |
Where Pennsylvania sits
The same service costs 4.2 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· 42nd of 51
$51.29
AK $186NY $44.67
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.