How much rates vary
Facilitymedian $676 · 10th to 90th $288 to $6,761Professionalmedian $339 · 10th to 90th $269 to $562
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 $338.84 Median $4,897.79 Typical High $8,709.64 | Facility | None | $338.84 | $4,897.79 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $338.84 Typical High $338.84 | Professional | None | $295.12 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $151.36 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $60.26 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $251.19 Typical High $251.19 | Professional | 54 · Surgery only | $229.09 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $50.12 Typical High $50.12 | Professional | 55 · Aftercare only | $45.71 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $33.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $30.20 | $33.88 | $33.88 |
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 $239.88 Median $239.88 Typical High $56,234.13 | Professional | None | $239.88 | $239.88 | $56,234.13 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $645.65 Typical High $2,089.30 | Facility | None | $446.68 | $645.65 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $316.23 Typical High $575.44 | Professional | None | $269.15 | $316.23 | $575.44 |
Emblem Health Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $457.09 | Professional | None | $407.38 | $407.38 | $457.09 |
Geisinger Setting Professional Modifier None Typical Low $295.12 Median $380.19 Typical High $645.65 | Professional | None | $295.12 | $380.19 | $645.65 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $4,897.79 Typical High $9,332.54 | Facility | None | $537.03 | $4,897.79 | $9,332.54 |
Martin's Point Setting Professional Modifier None Typical Low $295.12 Median $338.84 Typical High $338.84 | Professional | None | $295.12 | $338.84 | $338.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $151.36 | $169.82 | $169.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $60.26 | $67.61 | $67.61 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $251.19 Typical High $251.19 | Professional | 54 · Surgery only | $229.09 | $251.19 | $251.19 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $50.12 Typical High $50.12 | Professional | 55 · Aftercare only | $45.71 | $50.12 | $50.12 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $33.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $30.20 | $33.88 | $33.88 |
Oscar Health Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $602.56 | Professional | None | $389.05 | $389.05 | $602.56 |
UPMC Health Plan Setting Facility Modifier None Typical Low $275.42 Median $380.19 Typical High $380.19 | Facility | None | $275.42 | $380.19 | $380.19 |
UPMC Health Plan Setting Professional Modifier None Typical Low $275.42 Median $288.40 Typical High $380.19 | Professional | None | $275.42 | $288.40 | $380.19 |
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 $263.03 Median $363.08 Typical High $588.84 | Professional | None | $263.03 | $363.08 | $588.84 |
Where Pennsylvania sits
The same service costs 3.9 times more in Wisconsin 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· 46th of 51
$347
WI $1,175NY $302
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.