How much rates vary
Facilitymedian $1,514 · 10th to 90th $355 to $8,318Professionalmedian $363 · 10th to 90th $129 to $708
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 $645.65 Median $3,090.30 Typical High $8,511.38 | Facility | None | $645.65 | $3,090.30 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $426.58 Typical High $707.95 | Professional | None | $131.83 | $426.58 | $707.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $97.72 Typical High $354.81 | Professional | 52 · Reduced service | $66.07 | $97.72 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $39.81 Typical High $141.25 | Professional | 53 · Discontinued | $26.30 | $39.81 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $147.91 Typical High $524.81 | Professional | 54 · Surgery only | $100.00 | $147.91 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $29.51 Typical High $104.71 | Professional | 55 · Aftercare only | $19.95 | $29.51 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $41.69 Typical High $70.79 | Professional | 56 · Pre-op care only | $13.18 | $41.69 | $70.79 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $56,234.13 Median $56,234.13 Typical High $56,234.13 | Professional | None | $56,234.13 | $56,234.13 | $56,234.13 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $380.19 Typical High $812.83 | Professional | None | $117.49 | $380.19 | $812.83 |
Emblem Health Setting Professional Modifier None Typical Low $758.58 Median $912.01 Typical High $954.99 | Professional | None | $758.58 | $912.01 | $954.99 |
Geisinger Setting Professional Modifier None Typical Low $147.91 Median $575.44 Typical High $1,122.02 | Professional | None | $147.91 | $575.44 | $1,122.02 |
Martin's Point Setting Facility Modifier None Typical Low $707.95 Median $2,818.38 Typical High $8,709.64 | Facility | None | $707.95 | $2,818.38 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $131.83 Median $512.86 Typical High $707.95 | Professional | None | $131.83 | $512.86 | $707.95 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $97.72 Typical High $354.81 | Professional | 52 · Reduced service | $66.07 | $97.72 | $354.81 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $39.81 Typical High $141.25 | Professional | 53 · Discontinued | $26.30 | $39.81 | $141.25 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $147.91 Typical High $524.81 | Professional | 54 · Surgery only | $100.00 | $147.91 | $524.81 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $29.51 Typical High $104.71 | Professional | 55 · Aftercare only | $19.95 | $29.51 | $104.71 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $41.69 Typical High $70.79 | Professional | 56 · Pre-op care only | $13.18 | $41.69 | $70.79 |
Oscar Health Setting Professional Modifier None Typical Low $177.83 Median $616.60 Typical High $1,174.90 | Professional | None | $177.83 | $616.60 | $1,174.90 |
UPMC Health Plan Setting Facility Modifier None Typical Low $120.23 Median $512.86 Typical High $724.44 | Facility | None | $120.23 | $512.86 | $724.44 |
UPMC Health Plan Setting Professional Modifier None Typical Low $120.23 Median $181.97 Typical High $537.03 | Professional | None | $120.23 | $181.97 | $537.03 |
United Setting Facility Modifier None Typical Low $169.82 Median $524.81 Typical High $3,890.45 | Facility | None | $169.82 | $524.81 | $3,890.45 |
United Setting Professional Modifier None Typical Low $117.49 Median $269.15 Typical High $870.96 | Professional | None | $117.49 | $269.15 | $870.96 |
Where Pennsylvania sits
The same service costs 4.0 times more in Wisconsin than in Maryland. 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· 26th of 51
$490
WI $851MD $214
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.