How much rates vary
Facilitymedian $813 · 10th to 90th $200 to $5,888Professionalmedian $85 · 10th to 90th $76 to $166
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 $2,454.71 Typical High $8,317.64 | Facility | None | $537.03 | $2,454.71 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $81.28 Typical High $89.13 | Professional | None | $75.86 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $38.02 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $15.14 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $57.54 Median $61.66 Typical High $61.66 | Professional | 54 · Surgery only | $57.54 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $11.48 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $8.13 Typical High $8.13 | Professional | 56 · Pre-op care only | $7.59 | $8.13 | $8.13 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $28,183.83 Typical High $56,234.13 | Facility | None | $3,981.07 | $28,183.83 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $131.83 Median $173.78 Typical High $177.83 | Professional | None | $131.83 | $173.78 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $660.69 Typical High $2,290.87 | Facility | None | $380.19 | $660.69 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $93.33 Typical High $177.83 | Professional | None | $75.86 | $93.33 | $177.83 |
Emblem Health Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $114.82 | Professional | None | $109.65 | $109.65 | $114.82 |
Geisinger Setting Professional Modifier None Typical Low $72.44 Median $107.15 Typical High $173.78 | Professional | None | $72.44 | $107.15 | $173.78 |
Martin's Point Setting Facility Modifier None Typical Low $588.84 Median $2,344.23 Typical High $7,244.36 | Facility | None | $588.84 | $2,344.23 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $75.86 Median $81.28 Typical High $89.13 | Professional | None | $75.86 | $81.28 | $89.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $38.02 | $40.74 | $40.74 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $15.14 | $16.60 | $16.60 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $57.54 Median $61.66 Typical High $61.66 | Professional | 54 · Surgery only | $57.54 | $61.66 | $61.66 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $11.48 | $12.30 | $12.30 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $8.13 Typical High $8.13 | Professional | 56 · Pre-op care only | $7.59 | $8.13 | $8.13 |
Oscar Health Setting Professional Modifier None Typical Low $87.10 Median $128.82 Typical High $190.55 | Professional | None | $87.10 | $128.82 | $190.55 |
UPMC Health Plan Setting Facility Modifier None Typical Low $75.86 Median $1,174.90 Typical High $1,949.84 | Facility | None | $75.86 | $1,174.90 | $1,949.84 |
UPMC Health Plan Setting Professional Modifier None Typical Low $75.86 Median $147.91 Typical High $147.91 | Professional | None | $75.86 | $147.91 | $147.91 |
United Setting Facility Modifier None Typical Low $199.53 Median $562.34 Typical High $4,265.80 | Facility | None | $199.53 | $562.34 | $4,265.80 |
United Setting Professional Modifier None Typical Low $69.18 Median $87.10 Typical High $158.49 | Professional | None | $69.18 | $87.10 | $158.49 |
Where Pennsylvania sits
The same service costs 6.5 times more in Tennessee than in New York. 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
$107
TN $513NY $79.43
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.