How much rates vary
Facilitymedian $407 · 10th to 90th $85 to $3,467Professionalmedian $59 · 10th to 90th $48 to $93
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 $537.03 Median $2,454.71 Typical High $8,317.64 | Facility | None | $537.03 | $2,454.71 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $58.88 Typical High $60.26 | Professional | None | $54.95 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $29.51 Typical High $30.20 | Professional | 52 · Reduced service | $27.54 | $29.51 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.75 Typical High $12.02 | Professional | 53 · Discontinued | $10.96 | $11.75 | $12.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $44.67 Typical High $45.71 | Professional | 54 · Surgery only | $40.74 | $44.67 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $8.91 Typical High $9.12 | Professional | 55 · Aftercare only | $8.13 | $8.91 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.89 Typical High $6.03 | Professional | 56 · Pre-op care only | $5.50 | $5.89 | $6.03 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,511.89 Median $2,570.40 Typical High $56,234.13 | Facility | None | $2,511.89 | $2,570.40 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $95.50 | Professional | None | $70.79 | $87.10 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $380.19 Typical High $630.96 | Facility | None | $251.19 | $380.19 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $48.98 Typical High $107.15 | Professional | None | $47.86 | $48.98 | $107.15 |
Emblem Health Setting Professional Modifier None Typical Low $48.98 Median $66.07 Typical High $87.10 | Professional | None | $48.98 | $66.07 | $87.10 |
Geisinger Setting Facility Modifier None Typical Low $239.88 Median $295.12 Typical High $524.81 | Facility | None | $239.88 | $295.12 | $524.81 |
Geisinger Setting Professional Modifier None Typical Low $43.65 Median $54.95 Typical High $93.33 | Professional | None | $43.65 | $54.95 | $93.33 |
Martin's Point Setting Facility Modifier None Typical Low $588.84 Median $2,344.23 Typical High $7,244.36 | Facility | None | $588.84 | $2,344.23 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $54.95 Median $58.88 Typical High $60.26 | Professional | None | $54.95 | $58.88 | $60.26 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $29.51 Typical High $30.20 | Professional | 52 · Reduced service | $27.54 | $29.51 | $30.20 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.75 Typical High $12.02 | Professional | 53 · Discontinued | $10.96 | $11.75 | $12.02 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $44.67 Typical High $45.71 | Professional | 54 · Surgery only | $40.74 | $44.67 | $45.71 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $8.91 Typical High $9.12 | Professional | 55 · Aftercare only | $8.13 | $8.91 | $9.12 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.89 Typical High $6.03 | Professional | 56 · Pre-op care only | $5.50 | $5.89 | $6.03 |
Oscar Health Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $104.71 | Professional | None | $69.18 | $69.18 | $104.71 |
UPMC Health Plan Setting Facility Modifier None Typical Low $48.98 Median $1,071.52 Typical High $2,089.30 | Facility | None | $48.98 | $1,071.52 | $2,089.30 |
UPMC Health Plan Setting Professional Modifier None Typical Low $48.98 Median $50.12 Typical High $81.28 | Professional | None | $48.98 | $50.12 | $81.28 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,412.54 | Facility | None | $77.62 | $158.49 | $1,412.54 |
United Setting Professional Modifier None Typical Low $45.71 Median $53.70 Typical High $81.28 | Professional | None | $45.71 | $53.70 | $81.28 |
Where Pennsylvania sits
The same service costs 4.2 times more in Alaska than in Florida. 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
$58.88
AK $200FL $47.86
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.