How much rates vary
Facilitymedian $794 · 10th to 90th $240 to $6,310Professionalmedian $2,692 · 10th to 90th $2,239 to $4,898
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 $2,290.87 Median $2,630.27 Typical High $2,691.53 | Professional | None | $2,290.87 | $2,630.27 | $2,691.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,202.26 Median $1,318.26 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,202.26 | $1,318.26 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $537.03 Typical High $537.03 | Professional | 53 · Discontinued | $478.63 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $1,995.26 Typical High $2,041.74 | Professional | 54 · Surgery only | $1,778.28 | $1,995.26 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $398.11 Typical High $407.38 | Professional | 55 · Aftercare only | $354.81 | $398.11 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $263.03 Typical High $269.15 | Professional | 56 · Pre-op care only | $239.88 | $263.03 | $269.15 |
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 $2,630.27 Median $2,951.21 Typical High $5,011.87 | Professional | None | $2,630.27 | $2,951.21 | $5,011.87 |
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 $1,584.89 Median $2,454.71 Typical High $4,466.84 | Professional | None | $1,584.89 | $2,454.71 | $4,466.84 |
Emblem Health Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $5,495.41 | Professional | None | $4,786.30 | $4,786.30 | $5,495.41 |
Geisinger Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,786.30 | $4,786.30 | $4,786.30 |
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 $2,344.23 Median $2,630.27 Typical High $2,691.53 | Professional | None | $2,344.23 | $2,630.27 | $2,691.53 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1,202.26 Median $1,318.26 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,202.26 | $1,318.26 | $1,348.96 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $537.03 Typical High $537.03 | Professional | 53 · Discontinued | $478.63 | $537.03 | $537.03 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $1,995.26 Typical High $2,041.74 | Professional | 54 · Surgery only | $1,778.28 | $1,995.26 | $2,041.74 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $398.11 Typical High $407.38 | Professional | 55 · Aftercare only | $354.81 | $398.11 | $407.38 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $263.03 Typical High $269.15 | Professional | 56 · Pre-op care only | $239.88 | $263.03 | $269.15 |
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 $2,754.23 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,754.23 | $2,884.03 | $2,884.03 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2,754.23 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,754.23 | $2,884.03 | $2,884.03 |
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 $2,089.30 Median $3,019.95 Typical High $5,495.41 | Professional | None | $2,089.30 | $3,019.95 | $5,495.41 |
Where Pennsylvania sits
The same service costs 5.6 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· 34th of 51
$2,692
AK $9,550SC $1,698
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.