How much rates vary
Facilitymedian $200 · 10th to 90th $71 to $3,020Professionalmedian $245 · 10th to 90th $170 to $372
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 $190.55 Median $3,630.78 Typical High $8,511.38 | Facility | None | $190.55 | $3,630.78 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $245.47 Typical High $323.59 | Professional | None | $165.96 | $245.47 | $323.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $123.03 Typical High $162.18 | Professional | 52 · Reduced service | $83.18 | $123.03 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $48.98 Typical High $64.57 | Professional | 53 · Discontinued | $33.11 | $48.98 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $186.21 Typical High $245.47 | Professional | 54 · Surgery only | $125.89 | $186.21 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $37.15 Typical High $48.98 | Professional | 55 · Aftercare only | $25.12 | $37.15 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $24.55 Typical High $32.36 | Professional | 56 · Pre-op care only | $16.60 | $24.55 | $32.36 |
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 $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $169.82 Typical High $316.23 | Facility | None | $50.12 | $169.82 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $245.47 Typical High $446.68 | Professional | None | $162.18 | $245.47 | $446.68 |
Emblem Health Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $630.96 | Professional | None | $467.74 | $630.96 | $630.96 |
Geisinger Setting Facility Modifier None Typical Low $147.91 Median $186.21 Typical High $323.59 | Facility | None | $147.91 | $186.21 | $323.59 |
Geisinger Setting Professional Modifier None Typical Low $213.80 Median $371.54 Typical High $602.56 | Professional | None | $213.80 | $371.54 | $602.56 |
Martin's Point Setting Facility Modifier None Typical Low $323.59 Median $3,630.78 Typical High $8,709.64 | Facility | None | $323.59 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $165.96 Median $245.47 Typical High $323.59 | Professional | None | $165.96 | $245.47 | $323.59 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $123.03 Typical High $162.18 | Professional | 52 · Reduced service | $83.18 | $123.03 | $162.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $48.98 Typical High $64.57 | Professional | 53 · Discontinued | $33.11 | $48.98 | $64.57 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $186.21 Typical High $245.47 | Professional | 54 · Surgery only | $125.89 | $186.21 | $245.47 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $37.15 Typical High $48.98 | Professional | 55 · Aftercare only | $25.12 | $37.15 | $48.98 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $24.55 Typical High $32.36 | Professional | 56 · Pre-op care only | $16.60 | $24.55 | $32.36 |
Oscar Health Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $575.44 | Professional | None | $245.47 | $245.47 | $575.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $169.82 Median $181.97 Typical High $309.03 | Facility | None | $169.82 | $181.97 | $309.03 |
UPMC Health Plan Setting Professional Modifier None Typical Low $169.82 Median $213.80 Typical High $309.03 | Professional | None | $169.82 | $213.80 | $309.03 |
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 $186.21 Median $263.03 Typical High $398.11 | Professional | None | $186.21 | $263.03 | $398.11 |
Where Pennsylvania sits
The same service costs 3.8 times more in Alaska than in Maryland. 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· 43rd of 51
$245
AK $759MD $200
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.