How much rates vary
Facilitymedian $170 · 10th to 90th $78 to $2,630Professionalmedian $100 · 10th to 90th $56 to $162
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 $112.20 Median $3,630.78 Typical High $8,511.38 | Facility | None | $112.20 | $3,630.78 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $97.72 Typical High $123.03 | Professional | None | $56.23 | $97.72 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $45.71 Typical High $60.26 | Professional | 52 · Reduced service | $28.18 | $45.71 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $18.20 Typical High $23.99 | Professional | 53 · Discontinued | $11.22 | $18.20 | $23.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $60.26 Typical High $91.20 | Professional | 54 · Surgery only | $41.69 | $60.26 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $13.80 Typical High $18.20 | Professional | 55 · Aftercare only | $8.32 | $13.80 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $9.12 Typical High $12.02 | Professional | 56 · Pre-op care only | $5.62 | $9.12 | $12.02 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $56,234.13 | Facility | None | $2,630.27 | $3,019.95 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $269.15 | Professional | None | $109.65 | $109.65 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $245.47 Typical High $549.54 | Facility | None | $89.13 | $245.47 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $100.00 Typical High $181.97 | Professional | None | $56.23 | $100.00 | $181.97 |
Emblem Health Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $190.55 | Professional | None | $181.97 | $181.97 | $190.55 |
Geisinger Setting Facility Modifier None Typical Low $81.28 Median $100.00 Typical High $177.83 | Facility | None | $81.28 | $100.00 | $177.83 |
Geisinger Setting Professional Modifier None Typical Low $63.10 Median $117.49 Typical High $186.21 | Professional | None | $63.10 | $117.49 | $186.21 |
Martin's Point Setting Facility Modifier None Typical Low $120.23 Median $3,630.78 Typical High $8,709.64 | Facility | None | $120.23 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $56.23 Median $97.72 Typical High $123.03 | Professional | None | $56.23 | $97.72 | $123.03 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $45.71 Typical High $60.26 | Professional | 52 · Reduced service | $28.18 | $45.71 | $60.26 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $18.20 Typical High $23.99 | Professional | 53 · Discontinued | $11.22 | $18.20 | $23.99 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $60.26 Typical High $91.20 | Professional | 54 · Surgery only | $41.69 | $60.26 | $91.20 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $13.80 Typical High $18.20 | Professional | 55 · Aftercare only | $8.32 | $13.80 | $18.20 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $9.12 Typical High $12.02 | Professional | 56 · Pre-op care only | $5.62 | $9.12 | $12.02 |
Oscar Health Setting Professional Modifier None Typical Low $81.28 Median $85.11 Typical High $218.78 | Professional | None | $81.28 | $85.11 | $218.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $46.77 Median $194.98 Typical High $457.09 | Facility | None | $46.77 | $194.98 | $457.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $46.77 Median $72.44 Typical High $107.15 | Professional | None | $46.77 | $72.44 | $107.15 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,698.24 | Facility | None | $77.62 | $158.49 | $1,698.24 |
United Setting Professional Modifier None Typical Low $52.48 Median $97.72 Typical High $177.83 | Professional | None | $52.48 | $97.72 | $177.83 |
Where Pennsylvania sits
The same service costs 3.9 times more in Wisconsin 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· 39th of 51
$107
WI $251KY $64.57
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.