How much rates vary
Facilitymedian $83 · 10th to 90th $22 to $1,023Professionalmedian $28 · 10th to 90th $15 to $41
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 $18.20 Median $34.67 Typical High $281.84 | Facility | None | $18.20 | $34.67 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $28.18 Typical High $34.67 | Professional | None | $16.60 | $28.18 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.32 Median $13.49 Typical High $17.38 | Professional | 52 · Reduced service | $8.32 | $13.49 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $5.50 Typical High $6.92 | Professional | 53 · Discontinued | $3.39 | $5.50 | $6.92 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $12.59 Median $20.42 Typical High $25.70 | Professional | 54 · Surgery only | $12.59 | $20.42 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $4.07 Typical High $5.13 | Professional | 55 · Aftercare only | $2.51 | $4.07 | $5.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $2.75 Typical High $3.47 | Professional | 56 · Pre-op care only | $1.70 | $2.75 | $3.47 |
AmeriHealth Setting Facility Modifier None Typical Low $27.54 Median $79.43 Typical High $1,659.59 | Facility | None | $27.54 | $79.43 | $1,659.59 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $56,234.13 | Facility | None | $1,202.26 | $1,412.54 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $26.92 Median $28.18 Typical High $38.02 | Professional | None | $26.92 | $28.18 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $446.68 | Facility | None | $50.12 | $66.07 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $26.30 Typical High $50.12 | Professional | None | $14.45 | $26.30 | $50.12 |
Emblem Health Setting Professional Modifier None Typical Low $25.70 Median $44.67 Typical High $45.71 | Professional | None | $25.70 | $44.67 | $45.71 |
Geisinger Setting Professional Modifier None Typical Low $19.05 Median $35.48 Typical High $57.54 | Professional | None | $19.05 | $35.48 | $57.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $46.77 Median $177.83 Typical High $501.19 | Facility | None | $46.77 | $177.83 | $501.19 |
Independence Blue Cross Setting Facility Modifier None Typical Low $26.92 Median $79.43 Typical High $1,659.59 | Facility | None | $26.92 | $79.43 | $1,659.59 |
Martin's Point Setting Facility Modifier None Typical Low $18.20 Median $37.15 Typical High $281.84 | Facility | None | $18.20 | $37.15 | $281.84 |
Martin's Point Setting Professional Modifier None Typical Low $16.98 Median $28.18 Typical High $34.67 | Professional | None | $16.98 | $28.18 | $34.67 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $8.32 Median $10.47 Typical High $17.38 | Professional | 52 · Reduced service | $8.32 | $10.47 | $17.38 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $4.17 Typical High $6.92 | Professional | 53 · Discontinued | $3.39 | $4.17 | $6.92 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $12.59 Median $15.85 Typical High $25.70 | Professional | 54 · Surgery only | $12.59 | $15.85 | $25.70 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $3.16 Typical High $5.13 | Professional | 55 · Aftercare only | $2.51 | $3.16 | $5.13 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $2.09 Typical High $3.47 | Professional | 56 · Pre-op care only | $1.70 | $2.09 | $3.47 |
Oscar Health Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Oscar Health Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $64.57 | Professional | None | $32.36 | $32.36 | $64.57 |
UPMC Health Plan Setting Facility Modifier None Typical Low $19.50 Median $38.90 Typical High $69.18 | Facility | None | $19.50 | $38.90 | $69.18 |
UPMC Health Plan Setting Professional Modifier None Typical Low $14.45 Median $26.92 Typical High $30.20 | Professional | None | $14.45 | $26.92 | $30.20 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,230.27 | Facility | None | $77.62 | $158.49 | $1,230.27 |
United Setting Professional Modifier None Typical Low $14.79 Median $27.54 Typical High $47.86 | Professional | None | $14.79 | $27.54 | $47.86 |
Where Pennsylvania sits
The same service costs 3.5 times more in Wisconsin than in Kentucky. 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· 40th of 51
$30.20
WI $87.10KY $25.12
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.