How much rates vary
Facilitymedian $468 · 10th to 90th $200 to $2,570Professionalmedian $120 · 10th to 90th $87 to $195
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 $93.33 Median $3,630.78 Typical High $8,511.38 | Facility | None | $93.33 | $3,630.78 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $120.23 Typical High $134.90 | Professional | None | $87.10 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $60.26 Typical High $66.07 | Professional | 52 · Reduced service | $43.65 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $23.99 Typical High $26.92 | Professional | 53 · Discontinued | $17.38 | $23.99 | $26.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $89.13 Typical High $100.00 | Professional | 54 · Surgery only | $64.57 | $89.13 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $17.78 Typical High $19.95 | Professional | 55 · Aftercare only | $13.18 | $17.78 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $12.02 Typical High $13.49 | Professional | 56 · Pre-op care only | $8.71 | $12.02 | $13.49 |
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 $144.54 Median $144.54 Typical High $56,234.13 | Professional | None | $144.54 | $144.54 | $56,234.13 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $446.68 Typical High $707.95 | Facility | None | $323.59 | $446.68 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $134.90 Typical High $245.47 | Professional | None | $91.20 | $134.90 | $245.47 |
Emblem Health Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $223.87 | Professional | None | $218.78 | $218.78 | $223.87 |
Geisinger Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $741.31 | Facility | None | $331.13 | $416.87 | $741.31 |
Geisinger Setting Professional Modifier None Typical Low $102.33 Median $162.18 Typical High $245.47 | Professional | None | $102.33 | $162.18 | $245.47 |
Martin's Point Setting Facility Modifier None Typical Low $134.90 Median $3,630.78 Typical High $8,709.64 | Facility | None | $134.90 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $87.10 Median $120.23 Typical High $134.90 | Professional | None | $87.10 | $120.23 | $134.90 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $60.26 Typical High $66.07 | Professional | 52 · Reduced service | $43.65 | $60.26 | $66.07 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $23.99 Typical High $26.92 | Professional | 53 · Discontinued | $17.38 | $23.99 | $26.92 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $89.13 Typical High $100.00 | Professional | 54 · Surgery only | $64.57 | $89.13 | $100.00 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $17.78 Typical High $19.95 | Professional | 55 · Aftercare only | $13.18 | $17.78 | $19.95 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $12.02 Typical High $13.49 | Professional | 56 · Pre-op care only | $8.71 | $12.02 | $13.49 |
Oscar Health Setting Professional Modifier None Typical Low $144.54 Median $154.88 Typical High $288.40 | Professional | None | $144.54 | $154.88 | $288.40 |
UPMC Health Plan Setting Facility Modifier None Typical Low $95.50 Median $371.54 Typical High $870.96 | Facility | None | $95.50 | $371.54 | $870.96 |
UPMC Health Plan Setting Professional Modifier None Typical Low $89.13 Median $120.23 Typical High $144.54 | Professional | None | $89.13 | $120.23 | $144.54 |
United Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $1,995.26 | Facility | None | $199.53 | $436.52 | $1,995.26 |
United Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $213.80 | Professional | None | $83.18 | $120.23 | $213.80 |
Where Pennsylvania sits
The same service costs 3.5 times more in Alaska than in Indiana. 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· 47th of 51
$135
AK $447IN $126
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.