How much rates vary
Facilitymedian $589 · 10th to 90th $145 to $3,890Professionalmedian $191 · 10th to 90th $79 to $355
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 $8,317.64 | Facility | None | $208.93 | $2,137.96 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $177.83 Typical High $208.93 | Professional | None | $77.62 | $177.83 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $81.28 Typical High $104.71 | Professional | 52 · Reduced service | $38.02 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $33.11 Typical High $41.69 | Professional | 53 · Discontinued | $15.49 | $33.11 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $57.54 Median $123.03 Typical High $154.88 | Professional | 54 · Surgery only | $57.54 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $24.55 Typical High $31.62 | Professional | 55 · Aftercare only | $11.48 | $24.55 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $16.22 Typical High $20.89 | Professional | 56 · Pre-op care only | $7.76 | $16.22 | $20.89 |
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 $186.21 Median $309.03 Typical High $363.08 | Professional | None | $186.21 | $309.03 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $389.05 Typical High $954.99 | Facility | None | $151.36 | $389.05 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $181.97 Typical High $263.03 | Professional | None | $79.43 | $181.97 | $263.03 |
Emblem Health Setting Professional Modifier None Typical Low $229.09 Median $323.59 Typical High $426.58 | Professional | None | $229.09 | $323.59 | $426.58 |
Geisinger Setting Facility Modifier None Typical Low $138.04 Median $169.82 Typical High $302.00 | Facility | None | $138.04 | $169.82 | $302.00 |
Geisinger Setting Professional Modifier None Typical Low $91.20 Median $194.98 Typical High $323.59 | Professional | None | $91.20 | $194.98 | $323.59 |
Highmark BCBS Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $4,073.80 | Facility | None | $446.68 | $446.68 | $4,073.80 |
Martin's Point Setting Facility Modifier None Typical Low $380.19 Median $2,137.96 Typical High $7,244.36 | Facility | None | $380.19 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $77.62 Median $177.83 Typical High $208.93 | Professional | None | $77.62 | $177.83 | $208.93 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $83.18 Typical High $104.71 | Professional | 52 · Reduced service | $38.02 | $83.18 | $104.71 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $33.11 Typical High $41.69 | Professional | 53 · Discontinued | $15.49 | $33.11 | $41.69 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $57.54 Median $123.03 Typical High $154.88 | Professional | 54 · Surgery only | $57.54 | $123.03 | $154.88 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $24.55 Typical High $31.62 | Professional | 55 · Aftercare only | $11.48 | $24.55 | $31.62 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $16.60 Typical High $20.89 | Professional | 56 · Pre-op care only | $7.76 | $16.60 | $20.89 |
Oscar Health Setting Professional Modifier None Typical Low $223.87 Median $338.84 Typical High $524.81 | Professional | None | $223.87 | $338.84 | $524.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $79.43 Median $89.13 Typical High $194.98 | Facility | None | $79.43 | $89.13 | $194.98 |
UPMC Health Plan Setting Professional Modifier None Typical Low $79.43 Median $181.97 Typical High $194.98 | Professional | None | $79.43 | $181.97 | $194.98 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $2,630.27 | Facility | None | $416.87 | $724.44 | $2,630.27 |
United Setting Professional Modifier None Typical Low $72.44 Median $162.18 Typical High $245.47 | Professional | None | $72.44 | $162.18 | $245.47 |
Where Pennsylvania sits
The same service costs 3.7 times more in Alaska 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· 23rd of 51
$191
AK $355MD $95.50
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.