How much rates vary
Facilitymedian $776 · 10th to 90th $316 to $6,166Professionalmedian $1,148 · 10th to 90th $933 to $1,950
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 $831.76 Median $4,897.79 Typical High $8,511.38 | Facility | None | $831.76 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,047.13 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $524.81 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $208.93 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $776.25 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $154.88 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $104.71 | $114.82 | $114.82 |
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 $954.99 Median $1,659.59 Typical High $2,137.96 | Professional | None | $954.99 | $1,659.59 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $630.96 Typical High $1,174.90 | Facility | None | $457.09 | $630.96 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,174.90 Typical High $1,949.84 | Professional | None | $933.25 | $1,174.90 | $1,949.84 |
Emblem Health Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,584.89 | Professional | None | $1,412.54 | $1,412.54 | $1,584.89 |
Geisinger Setting Professional Modifier None Typical Low $1,000.00 Median $1,318.26 Typical High $2,089.30 | Professional | None | $1,000.00 | $1,318.26 | $2,089.30 |
Martin's Point Setting Facility Modifier None Typical Low $831.76 Median $3,801.89 Typical High $8,709.64 | Facility | None | $831.76 | $3,801.89 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,047.13 | $1,148.15 | $1,148.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $524.81 | $575.44 | $575.44 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $208.93 | $229.09 | $229.09 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $776.25 | $870.96 | $870.96 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $154.88 | $173.78 | $173.78 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $104.71 | $114.82 | $114.82 |
Oscar Health Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
UPMC Health Plan Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
UPMC Health Plan Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
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 $912.01 Median $1,288.25 Typical High $2,089.30 | Professional | None | $912.01 | $1,288.25 | $2,089.30 |
Where Pennsylvania sits
The same service costs 3.7 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· 43rd of 51
$1,148
AK $3,802NY $1,023
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.