How much rates vary
Facilitymedian $2,344 · 10th to 90th $550 to $6,761Professionalmedian $1,549 · 10th to 90th $158 to $2,818
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 $537.03 Median $2,344.23 Typical High $8,511.38 | Facility | None | $537.03 | $2,344.23 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $758.58 Typical High $2,187.76 | Professional | None | $158.49 | $758.58 | $2,187.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $109.65 Typical High $1,096.48 | Professional | 52 · Reduced service | $79.43 | $109.65 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $43.65 Typical High $436.52 | Professional | 53 · Discontinued | $32.36 | $43.65 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $165.96 Typical High $1,621.81 | Professional | 54 · Surgery only | $120.23 | $165.96 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $33.11 Typical High $331.13 | Professional | 55 · Aftercare only | $23.99 | $33.11 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $21.88 Typical High $218.78 | Professional | 56 · Pre-op care only | $15.85 | $21.88 | $218.78 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $15,848.93 Typical High $56,234.13 | Facility | None | $3,981.07 | $15,848.93 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $2,344.23 Median $3,090.30 Typical High $3,890.45 | Professional | None | $2,344.23 | $3,090.30 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $630.96 Typical High $2,089.30 | Facility | None | $446.68 | $630.96 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $323.59 Typical High $2,884.03 | Professional | None | $141.25 | $323.59 | $2,884.03 |
Emblem Health Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,884.03 | Professional | None | $2,754.23 | $2,754.23 | $2,884.03 |
Geisinger Setting Professional Modifier None Typical Low $204.17 Median $2,137.96 Typical High $3,548.13 | Professional | None | $204.17 | $2,137.96 | $3,548.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $2,630.27 Typical High $2,691.53 | Facility | None | $2,137.96 | $2,630.27 | $2,691.53 |
Highmark BCBS Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Martin's Point Setting Facility Modifier None Typical Low $588.84 Median $2,344.23 Typical High $8,511.38 | Facility | None | $588.84 | $2,344.23 | $8,511.38 |
Martin's Point Setting Professional Modifier None Typical Low $158.49 Median $707.95 Typical High $2,187.76 | Professional | None | $158.49 | $707.95 | $2,187.76 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $109.65 Typical High $1,096.48 | Professional | 52 · Reduced service | $79.43 | $109.65 | $1,096.48 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $43.65 Typical High $436.52 | Professional | 53 · Discontinued | $32.36 | $43.65 | $436.52 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $165.96 Typical High $1,621.81 | Professional | 54 · Surgery only | $120.23 | $165.96 | $1,621.81 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $33.11 Typical High $331.13 | Professional | 55 · Aftercare only | $23.99 | $33.11 | $331.13 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $21.88 Typical High $218.78 | Professional | 56 · Pre-op care only | $15.85 | $21.88 | $218.78 |
Oscar Health Setting Professional Modifier None Typical Low $114.82 Median $2,344.23 Typical High $2,344.23 | Professional | None | $114.82 | $2,344.23 | $2,344.23 |
UPMC Health Plan Setting Facility Modifier None Typical Low $144.54 Median $2,137.96 Typical High $3,890.45 | Facility | None | $144.54 | $2,137.96 | $3,890.45 |
UPMC Health Plan Setting Professional Modifier None Typical Low $144.54 Median $1,621.81 Typical High $2,137.96 | Professional | None | $144.54 | $1,621.81 | $2,137.96 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,162.28 Typical High $6,165.95 | Facility | None | $1,698.24 | $3,162.28 | $6,165.95 |
United Setting Professional Modifier None Typical Low $154.88 Median $1,202.26 Typical High $2,884.03 | Professional | None | $154.88 | $1,202.26 | $2,884.03 |
Where Pennsylvania sits
The same service costs 11.2 times more in Oklahoma 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· 31st of 51
$1,698
OK $2,818HI $251
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.