How much rates vary
Facilitymedian $2,951 · 10th to 90th $776 to $17,783Professionalmedian $955 · 10th to 90th $98 to $1,995
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 $102.33 Median $954.99 Typical High $1,737.80 | Professional | None | $102.33 | $954.99 | $1,737.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $151.36 Typical High $851.14 | Professional | 52 · Reduced service | $51.29 | $151.36 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $60.26 Typical High $346.74 | Professional | 53 · Discontinued | $20.42 | $60.26 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $223.87 Typical High $1,288.25 | Professional | 54 · Surgery only | $77.62 | $223.87 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $45.71 Typical High $257.04 | Professional | 55 · Aftercare only | $15.49 | $45.71 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $30.20 Typical High $173.78 | Professional | 56 · Pre-op care only | $10.23 | $30.20 | $173.78 |
AmeriHealth Setting Facility Modifier None Typical Low $9,332.54 Median $22,387.21 Typical High $35,481.34 | Facility | None | $9,332.54 | $22,387.21 | $35,481.34 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $7,413.10 Typical High $56,234.13 | Facility | None | $3,981.07 | $7,413.10 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $151.36 Median $1,000.00 Typical High $1,071.52 | Professional | None | $151.36 | $1,000.00 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,290.87 Typical High $3,801.89 | Facility | None | $501.19 | $2,290.87 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $223.87 Typical High $2,290.87 | Professional | None | $91.20 | $223.87 | $2,290.87 |
Emblem Health Setting Professional Modifier None Typical Low $1,288.25 Median $2,290.87 Typical High $2,344.23 | Professional | None | $1,288.25 | $2,290.87 | $2,344.23 |
Geisinger Setting Facility Modifier None Typical Low $2,344.23 Median $2,884.03 Typical High $5,128.61 | Facility | None | $2,344.23 | $2,884.03 | $5,128.61 |
Geisinger Setting Professional Modifier None Typical Low $97.72 Median $1,258.93 Typical High $2,454.71 | Professional | None | $97.72 | $1,258.93 | $2,454.71 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $10,471.29 Typical High $26,915.35 | Facility | None | $2,951.21 | $10,471.29 | $26,915.35 |
Independence Blue Cross Setting Facility Modifier None Typical Low $5,888.44 Median $19,498.45 Typical High $35,481.34 | Facility | None | $5,888.44 | $19,498.45 | $35,481.34 |
Martin's Point Setting Facility Modifier None Typical Low $724.44 Median $2,691.53 Typical High $8,317.64 | Facility | None | $724.44 | $2,691.53 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $102.33 Median $954.99 Typical High $1,737.80 | Professional | None | $102.33 | $954.99 | $1,737.80 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $67.61 Typical High $851.14 | Professional | 52 · Reduced service | $51.29 | $67.61 | $851.14 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $26.92 Typical High $346.74 | Professional | 53 · Discontinued | $20.42 | $26.92 | $346.74 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $100.00 Typical High $1,288.25 | Professional | 54 · Surgery only | $77.62 | $100.00 | $1,288.25 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $19.95 Typical High $257.04 | Professional | 55 · Aftercare only | $15.49 | $19.95 | $257.04 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $128.82 Typical High $173.78 | Professional | 56 · Pre-op care only | $10.23 | $128.82 | $173.78 |
Oscar Health Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $3,019.95 | Professional | None | $316.23 | $316.23 | $3,019.95 |
UPMC Health Plan Setting Facility Modifier None Typical Low $794.33 Median $1,288.25 Typical High $2,511.89 | Facility | None | $794.33 | $1,288.25 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $93.33 Median $1,230.27 Typical High $1,288.25 | Professional | None | $93.33 | $1,230.27 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $2,398.83 Typical High $6,760.83 | Facility | None | $1,380.38 | $2,398.83 | $6,760.83 |
United Setting Professional Modifier None Typical Low $93.33 Median $295.12 Typical High $3,019.95 | Professional | None | $93.33 | $295.12 | $3,019.95 |
Where Pennsylvania sits
The same service costs 19.1 times more in Alaska 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· 27th of 51
$1,445
AK $3,388NE $178
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.