How much rates vary
Facilitymedian $1,514 · 10th to 90th $275 to $4,467Professionalmedian $186 · 10th to 90th $91 to $355
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 $234.42 Median $2,137.96 Typical High $7,943.28 | Facility | None | $234.42 | $2,137.96 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $204.17 Typical High $275.42 | Professional | None | $91.20 | $204.17 | $275.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $66.07 Typical High $117.49 | Professional | 52 · Reduced service | $45.71 | $66.07 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $26.30 Typical High $46.77 | Professional | 53 · Discontinued | $18.20 | $26.30 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $97.72 Typical High $173.78 | Professional | 54 · Surgery only | $67.61 | $97.72 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $19.50 Typical High $34.67 | Professional | 55 · Aftercare only | $13.80 | $19.50 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $13.18 Typical High $23.44 | Professional | 56 · Pre-op care only | $9.12 | $13.18 | $23.44 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $4,365.16 Typical High $56,234.13 | Facility | None | $3,981.07 | $4,365.16 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $1,513.56 Typical High $2,884.03 | Facility | None | $354.81 | $1,513.56 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $177.83 Typical High $354.81 | Professional | None | $81.28 | $177.83 | $354.81 |
Emblem Health Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $363.08 | Professional | None | $346.74 | $346.74 | $363.08 |
Geisinger Setting Facility Modifier None Typical Low $1,584.89 Median $1,949.84 Typical High $3,467.37 | Facility | None | $1,584.89 | $1,949.84 | $3,467.37 |
Geisinger Setting Professional Modifier None Typical Low $147.91 Median $302.00 Typical High $524.81 | Professional | None | $147.91 | $302.00 | $524.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $4,897.79 | Facility | None | $1,659.59 | $1,659.59 | $4,897.79 |
Martin's Point Setting Facility Modifier None Typical Low $426.58 Median $2,137.96 Typical High $7,244.36 | Facility | None | $426.58 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $91.20 Median $204.17 Typical High $269.15 | Professional | None | $91.20 | $204.17 | $269.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $66.07 Typical High $117.49 | Professional | 52 · Reduced service | $45.71 | $66.07 | $117.49 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $26.30 Typical High $46.77 | Professional | 53 · Discontinued | $18.20 | $26.30 | $46.77 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $97.72 Typical High $173.78 | Professional | 54 · Surgery only | $67.61 | $97.72 | $173.78 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $19.50 Typical High $34.67 | Professional | 55 · Aftercare only | $13.80 | $19.50 | $34.67 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $13.18 Typical High $23.44 | Professional | 56 · Pre-op care only | $9.12 | $13.18 | $23.44 |
Oscar Health Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $575.44 | Professional | None | $416.87 | $416.87 | $575.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $83.18 Median $912.01 Typical High $2,511.89 | Facility | None | $83.18 | $912.01 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $83.18 Median $186.21 Typical High $512.86 | Professional | None | $83.18 | $186.21 | $512.86 |
United Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $3,890.45 | Facility | None | $199.53 | $436.52 | $3,890.45 |
United Setting Professional Modifier None Typical Low $85.11 Median $173.78 Typical High $363.08 | Professional | None | $85.11 | $173.78 | $363.08 |
Where Pennsylvania sits
The same service costs 4.1 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· 41st of 51
$234
AK $646NE $158
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.