How much rates vary
Facilitymedian $1,047 · 10th to 90th $398 to $4,074Professionalmedian $138 · 10th to 90th $126 to $263
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 $8,317.64 | Facility | None | $537.03 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $138.04 Typical High $144.54 | Professional | None | $125.89 | $138.04 | $144.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $61.66 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $25.12 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $104.71 Typical High $104.71 | Professional | 54 · Surgery only | $93.33 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $20.89 Typical High $20.89 | Professional | 55 · Aftercare only | $18.62 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $13.80 Typical High $13.80 | Professional | 56 · Pre-op care only | $12.59 | $13.80 | $13.80 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $56,234.13 | Facility | None | $2,630.27 | $3,019.95 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $831.76 Typical High $1,479.11 | Facility | None | $338.84 | $831.76 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $204.17 Typical High $309.03 | Professional | None | $128.82 | $204.17 | $309.03 |
Emblem Health Setting Professional Modifier None Typical Low $141.25 Median $190.55 Typical High $257.04 | Professional | None | $141.25 | $190.55 | $257.04 |
Geisinger Setting Facility Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,905.46 | Facility | None | $870.96 | $1,096.48 | $1,905.46 |
Geisinger Setting Professional Modifier None Typical Low $123.03 Median $204.17 Typical High $323.59 | Professional | None | $123.03 | $204.17 | $323.59 |
Martin's Point Setting Facility Modifier None Typical Low $588.84 Median $2,344.23 Typical High $7,244.36 | Facility | None | $588.84 | $2,344.23 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $125.89 Median $138.04 Typical High $138.04 | Professional | None | $125.89 | $138.04 | $138.04 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $61.66 | $69.18 | $69.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $27.54 Typical High $28.18 | Professional | 53 · Discontinued | $25.12 | $27.54 | $28.18 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $102.33 Typical High $104.71 | Professional | 54 · Surgery only | $93.33 | $102.33 | $104.71 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $20.89 Typical High $20.89 | Professional | 55 · Aftercare only | $18.62 | $20.89 | $20.89 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $13.80 Typical High $13.80 | Professional | 56 · Pre-op care only | $12.59 | $13.80 | $13.80 |
Oscar Health Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $457.09 | Professional | None | $251.19 | $281.84 | $457.09 |
UPMC Health Plan Setting Facility Modifier None Typical Low $131.83 Median $1,122.02 Typical High $2,238.72 | Facility | None | $131.83 | $1,122.02 | $2,238.72 |
UPMC Health Plan Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $263.03 | Professional | None | $131.83 | $131.83 | $263.03 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $3,890.45 | Facility | None | $416.87 | $724.44 | $3,890.45 |
United Setting Professional Modifier None Typical Low $117.49 Median $144.54 Typical High $269.15 | Professional | None | $117.49 | $144.54 | $269.15 |
Where Pennsylvania sits
The same service costs 5.4 times more in Alaska 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· 47th of 51
$138
AK $537UT $100
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.