How much rates vary
Facilitymedian $1,023 · 10th to 90th $427 to $4,898Professionalmedian $224 · 10th to 90th $115 to $363
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 $295.12 Median $2,754.23 Typical High $8,317.64 | Facility | None | $295.12 | $2,754.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $234.42 Typical High $295.12 | Professional | None | $114.82 | $234.42 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $81.28 Typical High $144.54 | Professional | 52 · Reduced service | $56.23 | $81.28 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $32.36 Typical High $58.88 | Professional | 53 · Discontinued | $22.39 | $32.36 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $120.23 Typical High $218.78 | Professional | 54 · Surgery only | $85.11 | $120.23 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $23.99 Typical High $43.65 | Professional | 55 · Aftercare only | $16.98 | $23.99 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $16.22 Typical High $29.51 | Professional | 56 · Pre-op care only | $11.22 | $16.22 | $29.51 |
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 $257.04 Median $257.04 Typical High $478.63 | Professional | None | $257.04 | $257.04 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $851.14 Typical High $1,621.81 | Facility | None | $478.63 | $851.14 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $213.80 Typical High $426.58 | Professional | None | $117.49 | $213.80 | $426.58 |
Emblem Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $457.09 | Professional | None | $446.68 | $446.68 | $457.09 |
Geisinger Setting Facility Modifier None Typical Low $812.83 Median $1,023.29 Typical High $1,778.28 | Facility | None | $812.83 | $1,023.29 | $1,778.28 |
Geisinger Setting Professional Modifier None Typical Low $134.90 Median $263.03 Typical High $446.68 | Professional | None | $134.90 | $263.03 | $446.68 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $2,570.40 Typical High $8,317.64 | Facility | None | $537.03 | $2,570.40 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $114.82 Median $234.42 Typical High $295.12 | Professional | None | $114.82 | $234.42 | $295.12 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $81.28 Typical High $144.54 | Professional | 52 · Reduced service | $56.23 | $81.28 | $144.54 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $32.36 Typical High $58.88 | Professional | 53 · Discontinued | $22.39 | $32.36 | $58.88 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $120.23 Typical High $218.78 | Professional | 54 · Surgery only | $85.11 | $120.23 | $218.78 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $23.99 Typical High $43.65 | Professional | 55 · Aftercare only | $16.98 | $23.99 | $43.65 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $16.22 Typical High $29.51 | Professional | 56 · Pre-op care only | $11.22 | $16.22 | $29.51 |
Oscar Health Setting Professional Modifier None Typical Low $199.53 Median $223.87 Typical High $478.63 | Professional | None | $199.53 | $223.87 | $478.63 |
UPMC Health Plan Setting Facility Modifier None Typical Low $151.36 Median $1,071.52 Typical High $2,511.89 | Facility | None | $151.36 | $1,071.52 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $114.82 Median $234.42 Typical High $263.03 | Professional | None | $114.82 | $234.42 | $263.03 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $3,890.45 | Facility | None | $416.87 | $724.44 | $3,890.45 |
United Setting Professional Modifier None Typical Low $107.15 Median $223.87 Typical High $426.58 | Professional | None | $107.15 | $223.87 | $426.58 |
Where Pennsylvania sits
The same service costs 3.9 times more in Alaska 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
$257
AK $708KY $182
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.