How much rates vary
Facilitymedian $794 · 10th to 90th $240 to $6,310Professionalmedian $2,344 · 10th to 90th $1,738 to $4,571
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 $1,862.09 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,862.09 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $977.24 Median $1,096.48 Typical High $1,096.48 | Professional | 52 · Reduced service | $977.24 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $436.52 Typical High $446.68 | Professional | 53 · Discontinued | $389.05 | $436.52 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,621.81 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,479.11 | $1,621.81 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $323.59 Typical High $331.13 | Professional | 55 · Aftercare only | $295.12 | $323.59 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $194.98 | $218.78 | $218.78 |
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 $2,398.83 Median $2,691.53 Typical High $4,570.88 | Professional | None | $2,398.83 | $2,691.53 | $4,570.88 |
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 $1,380.38 Median $2,041.74 Typical High $3,715.35 | Professional | None | $1,380.38 | $2,041.74 | $3,715.35 |
Emblem Health Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $4,466.84 | Professional | None | $3,235.94 | $3,235.94 | $4,466.84 |
Geisinger Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,466.84 | $4,466.84 | $4,466.84 |
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 $1,949.84 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,949.84 | $2,187.76 | $2,187.76 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $977.24 Median $1,096.48 Typical High $1,096.48 | Professional | 52 · Reduced service | $977.24 | $1,096.48 | $1,096.48 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $436.52 Typical High $446.68 | Professional | 53 · Discontinued | $389.05 | $436.52 | $446.68 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,621.81 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,479.11 | $1,621.81 | $1,659.59 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $323.59 Typical High $331.13 | Professional | 55 · Aftercare only | $295.12 | $323.59 | $331.13 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $194.98 | $218.78 | $218.78 |
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 $2,511.89 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,511.89 | $2,630.27 | $2,630.27 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2,511.89 Median $2,570.40 Typical High $2,630.27 | Professional | None | $2,511.89 | $2,570.40 | $2,630.27 |
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 $1,905.46 Median $2,570.40 Typical High $5,011.87 | Professional | None | $1,905.46 | $2,570.40 | $5,011.87 |
Where Pennsylvania sits
The same service costs 4.7 times more in Alaska than in South Carolina. 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· 39th of 51
$2,188
AK $7,413SC $1,585
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.