How much rates vary
Facilitymedian $2,818 · 10th to 90th $589 to $8,318Professionalmedian $501 · 10th to 90th $457 to $832
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 $660.69 Median $3,890.45 Typical High $8,317.64 | Facility | None | $660.69 | $3,890.45 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $501.19 Typical High $524.81 | Professional | None | $457.09 | $501.19 | $524.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $245.47 Typical High $251.19 | Professional | 52 · Reduced service | $229.09 | $245.47 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $97.72 Typical High $100.00 | Professional | 53 · Discontinued | $91.20 | $97.72 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $363.08 Typical High $380.19 | Professional | 54 · Surgery only | $338.84 | $363.08 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $74.13 Typical High $75.86 | Professional | 55 · Aftercare only | $69.18 | $74.13 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $48.98 Typical High $50.12 | Professional | 56 · Pre-op care only | $45.71 | $48.98 | $50.12 |
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 $741.31 Median $741.31 Typical High $56,234.13 | Professional | None | $741.31 | $741.31 | $56,234.13 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,691.53 Typical High $8,128.31 | Facility | None | $501.19 | $2,691.53 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $537.03 Typical High $954.99 | Professional | None | $457.09 | $537.03 | $954.99 |
Emblem Health Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $794.33 | Professional | None | $707.95 | $707.95 | $794.33 |
Geisinger Setting Professional Modifier None Typical Low $457.09 Median $602.56 Typical High $1,000.00 | Professional | None | $457.09 | $602.56 | $1,000.00 |
Martin's Point Setting Facility Modifier None Typical Low $758.58 Median $3,801.89 Typical High $8,317.64 | Facility | None | $758.58 | $3,801.89 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $457.09 Median $489.78 Typical High $524.81 | Professional | None | $457.09 | $489.78 | $524.81 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $245.47 Typical High $251.19 | Professional | 52 · Reduced service | $229.09 | $245.47 | $251.19 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $97.72 Typical High $100.00 | Professional | 53 · Discontinued | $91.20 | $97.72 | $100.00 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $363.08 Typical High $380.19 | Professional | 54 · Surgery only | $338.84 | $363.08 | $380.19 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $74.13 Typical High $75.86 | Professional | 55 · Aftercare only | $69.18 | $74.13 | $75.86 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $48.98 Typical High $50.12 | Professional | 56 · Pre-op care only | $45.71 | $48.98 | $50.12 |
Oscar Health Setting Professional Modifier None Typical Low $10.96 Median $676.08 Typical High $1,023.29 | Professional | None | $10.96 | $676.08 | $1,023.29 |
UPMC Health Plan Setting Facility Modifier None Typical Low $457.09 Median $562.34 Typical High $562.34 | Facility | None | $457.09 | $562.34 | $562.34 |
UPMC Health Plan Setting Professional Modifier None Typical Low $457.09 Median $562.34 Typical High $562.34 | Professional | None | $457.09 | $562.34 | $562.34 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $2,398.83 Typical High $6,918.31 | Facility | None | $1,380.38 | $2,398.83 | $6,918.31 |
United Setting Professional Modifier None Typical Low $416.87 Median $537.03 Typical High $977.24 | Professional | None | $416.87 | $537.03 | $977.24 |
Where Pennsylvania sits
The same service costs 3.9 times more in Alaska 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
$550
AK $1,905NY $490
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.