How much rates vary
Facilitymedian $794 · 10th to 90th $240 to $6,310Professionalmedian $1,995 · 10th to 90th $1,445 to $3,631
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 $1,071.52 Median $1,819.70 Typical High $1,862.09 | Professional | None | $1,071.52 | $1,819.70 | $1,862.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $812.83 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $812.83 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $363.08 Typical High $371.54 | Professional | 53 · Discontinued | $323.59 | $363.08 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,348.96 Typical High $1,380.38 | Professional | 54 · Surgery only | $1,230.27 | $1,348.96 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $269.15 Typical High $275.42 | Professional | 55 · Aftercare only | $245.47 | $269.15 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $181.97 Typical High $186.21 | Professional | 56 · Pre-op care only | $162.18 | $181.97 | $186.21 |
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 $1,995.26 Median $2,187.76 Typical High $3,801.89 | Professional | None | $1,995.26 | $2,187.76 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $645.65 Typical High $2,290.87 | Facility | None | $380.19 | $645.65 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,698.24 Typical High $3,090.30 | Professional | None | $1,148.15 | $1,698.24 | $3,090.30 |
Emblem Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $3,548.13 | Professional | None | $2,137.96 | $2,137.96 | $3,548.13 |
Geisinger Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $3,981.07 | Professional | None | $2,238.72 | $2,238.72 | $3,981.07 |
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 $1,071.52 Median $1,819.70 Typical High $1,862.09 | Professional | None | $1,071.52 | $1,819.70 | $1,862.09 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $812.83 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $812.83 | $912.01 | $912.01 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $363.08 Typical High $371.54 | Professional | 53 · Discontinued | $323.59 | $363.08 | $371.54 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,348.96 Typical High $1,380.38 | Professional | 54 · Surgery only | $1,230.27 | $1,348.96 | $1,380.38 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $269.15 Typical High $275.42 | Professional | 55 · Aftercare only | $245.47 | $269.15 | $275.42 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $181.97 Typical High $186.21 | Professional | 56 · Pre-op care only | $162.18 | $181.97 | $186.21 |
Oscar Health Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2,089.30 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,089.30 | $2,137.96 | $2,137.96 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2,089.30 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,089.30 | $2,137.96 | $2,137.96 |
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 $1,548.82 Median $2,089.30 Typical High $4,168.69 | Professional | None | $1,548.82 | $2,089.30 | $4,168.69 |
Where Pennsylvania sits
The same service costs 4.7 times more in Alaska than in Arkansas. 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· 31st of 51
$1,862
AK $6,166AR $1,318
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.