How much rates vary
Facilitymedian $1,230 · 10th to 90th $158 to $6,166Professionalmedian $135 · 10th to 90th $60 to $251
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 $169.82 Median $2,344.23 Typical High $8,317.64 | Facility | None | $169.82 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $134.90 Typical High $169.82 | Professional | None | $60.26 | $134.90 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $52.48 Typical High $85.11 | Professional | 52 · Reduced service | $30.20 | $52.48 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $20.89 Typical High $33.88 | Professional | 53 · Discontinued | $12.02 | $20.89 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $44.67 Median $77.62 Typical High $128.82 | Professional | 54 · Surgery only | $44.67 | $77.62 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $15.49 Typical High $25.70 | Professional | 55 · Aftercare only | $8.91 | $15.49 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $10.47 Typical High $16.98 | Professional | 56 · Pre-op care only | $6.03 | $10.47 | $16.98 |
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 $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $125.89 Typical High $234.42 | Professional | None | $58.88 | $125.89 | $234.42 |
Emblem Health Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $257.04 | Professional | None | $204.17 | $239.88 | $257.04 |
Geisinger Setting Professional Modifier None Typical Low $74.13 Median $169.82 Typical High $338.84 | Professional | None | $74.13 | $169.82 | $338.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Martin's Point Setting Facility Modifier None Typical Low $478.63 Median $2,137.96 Typical High $7,244.36 | Facility | None | $478.63 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $58.88 Median $134.90 Typical High $169.82 | Professional | None | $58.88 | $134.90 | $169.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $52.48 Typical High $85.11 | Professional | 52 · Reduced service | $28.84 | $52.48 | $85.11 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $20.89 Typical High $33.88 | Professional | 53 · Discontinued | $11.48 | $20.89 | $33.88 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $77.62 Typical High $128.82 | Professional | 54 · Surgery only | $43.65 | $77.62 | $128.82 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $15.49 Typical High $25.70 | Professional | 55 · Aftercare only | $8.71 | $15.49 | $25.70 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $10.47 Typical High $16.98 | Professional | 56 · Pre-op care only | $5.75 | $10.47 | $16.98 |
Oscar Health Setting Professional Modifier None Typical Low $269.15 Median $389.05 Typical High $524.81 | Professional | None | $269.15 | $389.05 | $524.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $125.89 Median $208.93 Typical High $1,174.90 | Facility | None | $125.89 | $208.93 | $1,174.90 |
UPMC Health Plan Setting Professional Modifier None Typical Low $60.26 Median $158.49 Typical High $1,174.90 | Professional | None | $60.26 | $158.49 | $1,174.90 |
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 $57.54 Median $134.90 Typical High $288.40 | Professional | None | $57.54 | $134.90 | $288.40 |
Where Pennsylvania sits
The same service costs 3.7 times more in Wisconsin than in Maryland. 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· 34th of 51
$145
WI $302MD $81.28
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.