How much rates vary
Facilitymedian $2,630 · 10th to 90th $724 to $8,710Professionalmedian $1,230 · 10th to 90th $275 to $2,630
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 $275.42 Median $1,023.29 Typical High $1,621.81 | Professional | None | $275.42 | $1,023.29 | $1,621.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $204.17 Typical High $812.83 | Professional | 52 · Reduced service | $134.90 | $204.17 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $83.18 Typical High $323.59 | Professional | 53 · Discontinued | $54.95 | $83.18 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $309.03 Typical High $1,230.27 | Professional | 54 · Surgery only | $204.17 | $309.03 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $61.66 Typical High $245.47 | Professional | 55 · Aftercare only | $40.74 | $61.66 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $41.69 Typical High $162.18 | Professional | 56 · Pre-op care only | $27.54 | $41.69 | $162.18 |
Capital Blue Cross Setting Facility Modifier None Typical Low $6,760.83 Median $7,413.10 Typical High $56,234.13 | Facility | None | $6,760.83 | $7,413.10 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1,174.90 Median $2,089.30 Typical High $3,162.28 | Professional | None | $1,174.90 | $2,089.30 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $676.08 Typical High $1,995.26 | Professional | None | $245.47 | $676.08 | $1,995.26 |
Emblem Health Setting Professional Modifier None Typical Low $1,698.24 Median $2,041.74 Typical High $2,137.96 | Professional | None | $1,698.24 | $2,041.74 | $2,137.96 |
Geisinger Setting Professional Modifier None Typical Low $346.74 Median $1,479.11 Typical High $2,570.40 | Professional | None | $346.74 | $1,479.11 | $2,570.40 |
Highmark BCBS Setting Facility Modifier None Typical Low $4,073.80 Median $6,309.57 Typical High $8,709.64 | Facility | None | $4,073.80 | $6,309.57 | $8,709.64 |
Highmark BCBS Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Martin's Point Setting Facility Modifier None Typical Low $724.44 Median $2,818.38 Typical High $8,709.64 | Facility | None | $724.44 | $2,818.38 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $275.42 Median $1,148.15 Typical High $1,621.81 | Professional | None | $275.42 | $1,148.15 | $1,621.81 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $199.53 Typical High $812.83 | Professional | 52 · Reduced service | $134.90 | $199.53 | $812.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $81.28 Typical High $323.59 | Professional | 53 · Discontinued | $54.95 | $81.28 | $323.59 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $302.00 Typical High $1,230.27 | Professional | 54 · Surgery only | $204.17 | $302.00 | $1,230.27 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $60.26 Typical High $245.47 | Professional | 55 · Aftercare only | $40.74 | $60.26 | $245.47 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $40.74 Typical High $162.18 | Professional | 56 · Pre-op care only | $27.54 | $40.74 | $162.18 |
Oscar Health Setting Professional Modifier None Typical Low $302.00 Median $316.23 Typical High $5,248.07 | Professional | None | $302.00 | $316.23 | $5,248.07 |
UPMC Health Plan Setting Facility Modifier None Typical Low $245.47 Median $1,258.93 Typical High $1,949.84 | Facility | None | $245.47 | $1,258.93 | $1,949.84 |
UPMC Health Plan Setting Professional Modifier None Typical Low $245.47 Median $1,230.27 Typical High $1,258.93 | Professional | None | $245.47 | $1,230.27 | $1,258.93 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,890.45 Typical High $10,000.00 | Facility | None | $2,089.30 | $3,890.45 | $10,000.00 |
United Setting Professional Modifier None Typical Low $257.04 Median $1,148.15 Typical High $2,187.76 | Professional | None | $257.04 | $1,148.15 | $2,187.76 |
Where Pennsylvania sits
The same service costs 4.7 times more in Wisconsin than in Nebraska. 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· 25th of 51
$1,259
WI $2,089NE $447
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.