How much rates vary
Facilitymedian $794 · 10th to 90th $87 to $7,079Professionalmedian $282 · 10th to 90th $245 to $457
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 $537.03 Median $5,370.32 Typical High $8,709.64 | Facility | None | $537.03 | $5,370.32 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $269.15 Typical High $281.84 | Professional | None | $245.47 | $269.15 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $134.90 Typical High $141.25 | Professional | 52 · Reduced service | $123.03 | $134.90 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $53.70 Typical High $56.23 | Professional | 53 · Discontinued | $48.98 | $53.70 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $199.53 Typical High $213.80 | Professional | 54 · Surgery only | $186.21 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $40.74 Typical High $42.66 | Professional | 55 · Aftercare only | $37.15 | $40.74 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $26.92 Typical High $28.18 | Professional | 56 · Pre-op care only | $24.55 | $26.92 | $28.18 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $7,413.10 Typical High $56,234.13 | Facility | None | $3,981.07 | $7,413.10 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $707.95 | Professional | None | $467.74 | $691.83 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $812.83 Typical High $1,819.70 | Facility | None | $660.69 | $812.83 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $281.84 Typical High $602.56 | Professional | None | $263.03 | $281.84 | $602.56 |
Emblem Health Setting Professional Modifier None Typical Low $302.00 Median $407.38 Typical High $407.38 | Professional | None | $302.00 | $407.38 | $407.38 |
Geisinger Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $616.60 | Professional | None | $239.88 | $331.13 | $616.60 |
Highmark BCBS Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $7,585.78 | Professional | None | $316.23 | $316.23 | $7,585.78 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $4,897.79 Typical High $8,709.64 | Facility | None | $537.03 | $4,897.79 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $245.47 Median $269.15 Typical High $281.84 | Professional | None | $245.47 | $269.15 | $281.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $128.82 Typical High $141.25 | Professional | 52 · Reduced service | $123.03 | $128.82 | $141.25 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $52.48 Typical High $56.23 | Professional | 53 · Discontinued | $48.98 | $52.48 | $56.23 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $194.98 Typical High $213.80 | Professional | 54 · Surgery only | $186.21 | $194.98 | $213.80 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $38.90 Typical High $42.66 | Professional | 55 · Aftercare only | $37.15 | $38.90 | $42.66 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $25.70 Typical High $28.18 | Professional | 56 · Pre-op care only | $24.55 | $25.70 | $28.18 |
Oscar Health Setting Professional Modifier None Typical Low $309.03 Median $380.19 Typical High $588.84 | Professional | None | $309.03 | $380.19 | $588.84 |
UPMC Health Plan Setting Facility Modifier None Typical Low $269.15 Median $3,235.94 Typical High $5,623.41 | Facility | None | $269.15 | $3,235.94 | $5,623.41 |
UPMC Health Plan Setting Professional Modifier None Typical Low $269.15 Median $288.40 Typical High $288.40 | Professional | None | $269.15 | $288.40 | $288.40 |
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 $257.04 Median $309.03 Typical High $457.09 | Professional | None | $257.04 | $309.03 | $457.09 |
Where Pennsylvania sits
The same service costs 4.8 times more in Alaska than in Utah. 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· 44th of 51
$282
AK $1,096UT $229
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.