How much rates vary
Facilitymedian $447 · 10th to 90th $102 to $5,495Professionalmedian $191 · 10th to 90th $117 to $324
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 $213.80 Median $2,951.21 Typical High $8,511.38 | Facility | None | $213.80 | $2,951.21 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $190.55 Typical High $281.84 | Professional | None | $120.23 | $190.55 | $281.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $79.43 Typical High $107.15 | Professional | 52 · Reduced service | $56.23 | $79.43 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $32.36 Typical High $42.66 | Professional | 53 · Discontinued | $22.91 | $32.36 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $120.23 Typical High $162.18 | Professional | 54 · Surgery only | $85.11 | $120.23 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $23.99 Typical High $32.36 | Professional | 55 · Aftercare only | $16.98 | $23.99 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $15.85 Typical High $21.38 | Professional | 56 · Pre-op care only | $11.22 | $15.85 | $21.38 |
Ambetter Setting Professional Modifier None Typical Low $295.12 Median $331.13 Typical High $331.13 | Professional | None | $295.12 | $331.13 | $331.13 |
AmeriHealth Setting Facility Modifier None Typical Low $2,137.96 Median $5,370.32 Typical High $8,128.31 | Facility | None | $2,137.96 | $5,370.32 | $8,128.31 |
AmeriHealth Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $354.81 | Professional | None | $208.93 | $208.93 | $354.81 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,511.89 Median $2,570.40 Typical High $56,234.13 | Facility | None | $2,511.89 | $2,570.40 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $229.09 Median $346.74 Typical High $346.74 | Professional | None | $229.09 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $323.59 Typical High $562.34 | Facility | None | $134.90 | $323.59 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $194.98 Typical High $331.13 | Professional | None | $117.49 | $194.98 | $331.13 |
Emblem Health Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $331.13 | Professional | None | $316.23 | $316.23 | $331.13 |
Geisinger Setting Facility Modifier None Typical Low $123.03 Median $154.88 Typical High $269.15 | Facility | None | $123.03 | $154.88 | $269.15 |
Geisinger Setting Professional Modifier None Typical Low $154.88 Median $245.47 Typical High $380.19 | Professional | None | $154.88 | $245.47 | $380.19 |
Highmark BCBS Setting Facility Modifier None Typical Low $537.03 Median $1,348.96 Typical High $2,238.72 | Facility | None | $537.03 | $1,348.96 | $2,238.72 |
Independence Blue Cross Setting Facility Modifier None Typical Low $524.81 Median $3,715.35 Typical High $8,128.31 | Facility | None | $524.81 | $3,715.35 | $8,128.31 |
Independence Blue Cross Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $234.42 | Professional | None | $208.93 | $208.93 | $234.42 |
Martin's Point Setting Facility Modifier None Typical Low $575.44 Median $2,691.53 Typical High $8,317.64 | Facility | None | $575.44 | $2,691.53 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $117.49 Median $190.55 Typical High $281.84 | Professional | None | $117.49 | $190.55 | $281.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $79.43 Typical High $107.15 | Professional | 52 · Reduced service | $56.23 | $79.43 | $107.15 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $32.36 Typical High $42.66 | Professional | 53 · Discontinued | $22.91 | $32.36 | $42.66 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $120.23 Typical High $162.18 | Professional | 54 · Surgery only | $85.11 | $120.23 | $162.18 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $23.99 Typical High $32.36 | Professional | 55 · Aftercare only | $16.98 | $23.99 | $32.36 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $15.85 Typical High $21.38 | Professional | 56 · Pre-op care only | $11.22 | $15.85 | $21.38 |
Oscar Health Setting Professional Modifier None Typical Low $229.09 Median $245.47 Typical High $436.52 | Professional | None | $229.09 | $245.47 | $436.52 |
UPMC Health Plan Setting Facility Modifier None Typical Low $165.96 Median $501.19 Typical High $1,148.15 | Facility | None | $165.96 | $501.19 | $1,148.15 |
UPMC Health Plan Setting Professional Modifier None Typical Low $117.49 Median $190.55 Typical High $245.47 | Professional | None | $117.49 | $190.55 | $245.47 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,288.25 | Facility | None | $77.62 | $158.49 | $1,288.25 |
United Setting Professional Modifier None Typical Low $112.20 Median $177.83 Typical High $316.23 | Professional | None | $112.20 | $177.83 | $316.23 |
Where Pennsylvania sits
The same service costs 3.0 times more in Wisconsin 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· 40th of 51
$200
WI $537MD $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.