How much rates vary
Facilitymedian $813 · 10th to 90th $417 to $4,074Professionalmedian $646 · 10th to 90th $162 to $1,096
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 $208.93 Median $1,148.15 Typical High $6,165.95 | Facility | None | $208.93 | $1,148.15 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $524.81 Typical High $891.25 | Professional | None | $158.49 | $524.81 | $891.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $134.90 Typical High $446.68 | Professional | 52 · Reduced service | $89.13 | $134.90 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $53.70 Typical High $177.83 | Professional | 53 · Discontinued | $35.48 | $53.70 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $199.53 Typical High $676.08 | Professional | 54 · Surgery only | $134.90 | $199.53 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $72.44 Typical High $134.90 | Professional | 55 · Aftercare only | $26.92 | $72.44 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $47.86 Typical High $89.13 | Professional | 56 · Pre-op care only | $17.78 | $47.86 | $89.13 |
Ambetter Setting Professional Modifier None Typical Low $144.54 Median $162.18 Typical High $660.69 | Professional | None | $144.54 | $162.18 | $660.69 |
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 $645.65 Median $977.24 Typical High $1,318.26 | Professional | None | $645.65 | $977.24 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $676.08 Typical High $1,148.15 | Facility | None | $467.74 | $676.08 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $389.05 Typical High $912.01 | Professional | None | $158.49 | $389.05 | $912.01 |
Emblem Health Setting Professional Modifier None Typical Low $954.99 Median $1,148.15 Typical High $1,202.26 | Professional | None | $954.99 | $1,148.15 | $1,202.26 |
Geisinger Setting Facility Modifier None Typical Low $549.54 Median $676.08 Typical High $1,202.26 | Facility | None | $549.54 | $676.08 | $1,202.26 |
Geisinger Setting Professional Modifier None Typical Low $229.09 Median $676.08 Typical High $1,202.26 | Professional | None | $229.09 | $676.08 | $1,202.26 |
Highmark BCBS Setting Facility Modifier None Typical Low $724.44 Median $3,388.44 Typical High $7,244.36 | Facility | None | $724.44 | $3,388.44 | $7,244.36 |
Highmark BCBS Setting Professional Modifier None Typical Low $173.78 Median $190.55 Typical High $776.25 | Professional | None | $173.78 | $190.55 | $776.25 |
Martin's Point Setting Facility Modifier None Typical Low $251.19 Median $1,513.56 Typical High $6,165.95 | Facility | None | $251.19 | $1,513.56 | $6,165.95 |
Martin's Point Setting Professional Modifier None Typical Low $158.49 Median $524.81 Typical High $891.25 | Professional | None | $158.49 | $524.81 | $891.25 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $134.90 Typical High $446.68 | Professional | 52 · Reduced service | $89.13 | $134.90 | $446.68 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $53.70 Typical High $177.83 | Professional | 53 · Discontinued | $35.48 | $53.70 | $177.83 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $199.53 Typical High $676.08 | Professional | 54 · Surgery only | $134.90 | $199.53 | $676.08 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $72.44 Typical High $134.90 | Professional | 55 · Aftercare only | $26.92 | $72.44 | $134.90 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $47.86 Typical High $89.13 | Professional | 56 · Pre-op care only | $17.78 | $47.86 | $89.13 |
Oscar Health Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $1,230.27 | Professional | None | $323.59 | $323.59 | $1,230.27 |
UPMC Health Plan Setting Facility Modifier None Typical Low $162.18 Median $1,318.26 Typical High $2,570.40 | Facility | None | $162.18 | $1,318.26 | $2,570.40 |
UPMC Health Plan Setting Professional Modifier None Typical Low $162.18 Median $602.56 Typical High $676.08 | Professional | None | $162.18 | $602.56 | $676.08 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $3,467.37 | Facility | None | $416.87 | $724.44 | $3,467.37 |
United Setting Professional Modifier None Typical Low $154.88 Median $549.54 Typical High $1,023.29 | Professional | None | $154.88 | $549.54 | $1,023.29 |
Where Pennsylvania sits
The same service costs 5.2 times more in Wisconsin than in Hawaii. 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· 22nd of 51
$646
WI $1,148HI $219
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.