How much rates vary
Facilitymedian $1,349 · 10th to 90th $83 to $8,318Professionalmedian $174 · 10th to 90th $74 to $380
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 $2,137.96 Typical High $7,943.28 | Facility | None | $208.93 | $2,137.96 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $177.83 Typical High $239.88 | Professional | None | $74.13 | $177.83 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $61.66 Typical High $102.33 | Professional | 52 · Reduced service | $37.15 | $61.66 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $24.55 Typical High $41.69 | Professional | 53 · Discontinued | $14.79 | $24.55 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $91.20 Typical High $154.88 | Professional | 54 · Surgery only | $56.23 | $91.20 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $18.20 Typical High $30.90 | Professional | 55 · Aftercare only | $11.22 | $18.20 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $15.49 Typical High $20.89 | Professional | 56 · Pre-op care only | $7.41 | $15.49 | $20.89 |
Ambetter Setting Professional Modifier None Typical Low $61.66 Median $107.15 Typical High $107.15 | Professional | None | $61.66 | $107.15 | $107.15 |
AmeriHealth Setting Facility Modifier None Typical Low $19,498.45 Median $31,622.78 Typical High $53,703.18 | Facility | None | $19,498.45 | $31,622.78 | $53,703.18 |
AmeriHealth Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $1,288.25 | Professional | None | $95.50 | $95.50 | $1,288.25 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $165.96 Median $302.00 Typical High $416.87 | Professional | None | $165.96 | $302.00 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $151.36 Typical High $275.42 | Professional | None | $67.61 | $151.36 | $275.42 |
Emblem Health Setting Professional Modifier None Typical Low $218.78 Median $275.42 Typical High $295.12 | Professional | None | $218.78 | $275.42 | $295.12 |
Geisinger Setting Professional Modifier None Typical Low $87.10 Median $229.09 Typical High $323.59 | Professional | None | $87.10 | $229.09 | $323.59 |
Highmark BCBS Setting Facility Modifier None Typical Low $223.87 Median $1,380.38 Typical High $1,737.80 | Facility | None | $223.87 | $1,380.38 | $1,737.80 |
Highmark BCBS Setting Professional Modifier None Typical Low $79.43 Median $85.11 Typical High $91.20 | Professional | None | $79.43 | $85.11 | $91.20 |
Independence Blue Cross Setting Facility Modifier None Typical Low $19,498.45 Median $31,622.78 Typical High $53,703.18 | Facility | None | $19,498.45 | $31,622.78 | $53,703.18 |
Independence Blue Cross Setting Professional Modifier None Typical Low $95.50 Median $117.49 Typical High $1,288.25 | Professional | None | $95.50 | $117.49 | $1,288.25 |
Martin's Point Setting Facility Modifier None Typical Low $208.93 Median $1,995.26 Typical High $7,244.36 | Facility | None | $208.93 | $1,995.26 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $74.13 Median $177.83 Typical High $239.88 | Professional | None | $74.13 | $177.83 | $239.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $61.66 Typical High $102.33 | Professional | 52 · Reduced service | $37.15 | $61.66 | $102.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $24.55 Typical High $41.69 | Professional | 53 · Discontinued | $14.79 | $24.55 | $41.69 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $91.20 Typical High $154.88 | Professional | 54 · Surgery only | $56.23 | $91.20 | $154.88 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $18.20 Typical High $30.90 | Professional | 55 · Aftercare only | $11.22 | $18.20 | $30.90 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $16.22 Typical High $20.89 | Professional | 56 · Pre-op care only | $7.41 | $16.22 | $20.89 |
Oscar Health Setting Professional Modifier None Typical Low $138.04 Median $147.91 Typical High $302.00 | Professional | None | $138.04 | $147.91 | $302.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $58.88 Median $89.13 Typical High $229.09 | Facility | None | $58.88 | $89.13 | $229.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $67.61 Median $162.18 Typical High $229.09 | Professional | None | $67.61 | $162.18 | $229.09 |
United Setting Facility Modifier None Typical Low $169.82 Median $524.81 Typical High $3,890.45 | Facility | None | $169.82 | $524.81 | $3,890.45 |
United Setting Professional Modifier None Typical Low $70.79 Median $162.18 Typical High $295.12 | Professional | None | $70.79 | $162.18 | $295.12 |
Where Pennsylvania sits
The same service costs 2.7 times more in Wisconsin than in Utah. 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· 28th of 51
$178
WI $316UT $117
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.