How much rates vary
Facilitymedian $2,291 · 10th to 90th $631 to $6,026Professionalmedian $1,230 · 10th to 90th $363 to $2,399
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 $676.08 Median $3,801.89 Typical High $8,317.64 | Facility | None | $676.08 | $3,801.89 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $1,096.48 Typical High $1,621.81 | Professional | None | $363.08 | $1,096.48 | $1,621.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $257.04 Typical High $812.83 | Professional | 52 · Reduced service | $181.97 | $257.04 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $102.33 Typical High $323.59 | Professional | 53 · Discontinued | $74.13 | $102.33 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $389.05 Typical High $1,202.26 | Professional | 54 · Surgery only | $275.42 | $389.05 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $77.62 Typical High $245.47 | Professional | 55 · Aftercare only | $54.95 | $77.62 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $51.29 Typical High $162.18 | Professional | 56 · Pre-op care only | $36.31 | $51.29 | $162.18 |
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 $1,174.90 Median $2,089.30 Typical High $3,467.37 | Professional | None | $1,174.90 | $2,089.30 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,089.30 Typical High $3,981.07 | Facility | None | $501.19 | $2,089.30 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $724.44 Typical High $2,398.83 | Professional | None | $323.59 | $724.44 | $2,398.83 |
Emblem Health Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,089.30 | Professional | None | $1,949.84 | $1,949.84 | $2,089.30 |
Geisinger Setting Facility Modifier None Typical Low $2,137.96 Median $2,691.53 Typical High $4,677.35 | Facility | None | $2,137.96 | $2,691.53 | $4,677.35 |
Geisinger Setting Professional Modifier None Typical Low $467.74 Median $1,659.59 Typical High $3,019.95 | Professional | None | $467.74 | $1,659.59 | $3,019.95 |
Martin's Point Setting Facility Modifier None Typical Low $776.25 Median $3,715.35 Typical High $8,317.64 | Facility | None | $776.25 | $3,715.35 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $363.08 Median $1,096.48 Typical High $1,621.81 | Professional | None | $363.08 | $1,096.48 | $1,621.81 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $257.04 Typical High $812.83 | Professional | 52 · Reduced service | $181.97 | $257.04 | $812.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $102.33 Typical High $323.59 | Professional | 53 · Discontinued | $74.13 | $102.33 | $323.59 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $389.05 Typical High $1,202.26 | Professional | 54 · Surgery only | $275.42 | $389.05 | $1,202.26 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $77.62 Typical High $245.47 | Professional | 55 · Aftercare only | $54.95 | $77.62 | $245.47 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $51.29 Typical High $162.18 | Professional | 56 · Pre-op care only | $36.31 | $51.29 | $162.18 |
UPMC Health Plan Setting Facility Modifier None Typical Low $331.13 Median $346.74 Typical High $1,548.82 | Facility | None | $331.13 | $346.74 | $1,548.82 |
UPMC Health Plan Setting Professional Modifier None Typical Low $331.13 Median $1,202.26 Typical High $1,548.82 | Professional | None | $331.13 | $1,202.26 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $6,025.60 | Facility | None | $1,148.15 | $1,905.46 | $6,025.60 |
United Setting Professional Modifier None Typical Low $354.81 Median $1,047.13 Typical High $2,570.40 | Professional | None | $354.81 | $1,047.13 | $2,570.40 |
Where Pennsylvania sits
The same service costs 5.1 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· 33rd of 51
$1,413
AK $3,020NE $589
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.