How much rates vary
Facilitymedian $1,000 · 10th to 90th $407 to $3,981Professionalmedian $339 · 10th to 90th $151 to $468
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 $467.74 Median $2,137.96 Typical High $8,317.64 | Facility | None | $467.74 | $2,137.96 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $363.08 Typical High $467.74 | Professional | None | $147.91 | $363.08 | $467.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $162.18 Typical High $234.42 | Professional | 52 · Reduced service | $74.13 | $162.18 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $64.57 Typical High $93.33 | Professional | 53 · Discontinued | $29.51 | $64.57 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $239.88 Typical High $346.74 | Professional | 54 · Surgery only | $112.20 | $239.88 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $47.86 Typical High $69.18 | Professional | 55 · Aftercare only | $22.39 | $47.86 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $32.36 Typical High $46.77 | Professional | 56 · Pre-op care only | $14.79 | $32.36 | $46.77 |
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 $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
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 $151.36 Median $371.54 Typical High $512.86 | Professional | None | $151.36 | $371.54 | $512.86 |
Emblem Health Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $1,023.29 | Professional | None | $562.34 | $776.25 | $1,023.29 |
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 $165.96 Median $436.52 Typical High $758.58 | Professional | None | $165.96 | $436.52 | $758.58 |
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 $147.91 Median $363.08 Typical High $467.74 | Professional | None | $147.91 | $363.08 | $467.74 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $162.18 Typical High $234.42 | Professional | 52 · Reduced service | $74.13 | $162.18 | $234.42 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $64.57 Typical High $93.33 | Professional | 53 · Discontinued | $29.51 | $64.57 | $93.33 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $245.47 Typical High $346.74 | Professional | 54 · Surgery only | $112.20 | $245.47 | $346.74 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $48.98 Typical High $69.18 | Professional | 55 · Aftercare only | $22.39 | $48.98 | $69.18 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $32.36 Typical High $46.77 | Professional | 56 · Pre-op care only | $14.79 | $32.36 | $46.77 |
Oscar Health Setting Professional Modifier None Typical Low $218.78 Median $229.09 Typical High $831.76 | Professional | None | $218.78 | $229.09 | $831.76 |
UPMC Health Plan Setting Facility Modifier None Typical Low $269.15 Median $812.83 Typical High $1,862.09 | Facility | None | $269.15 | $812.83 | $1,862.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $154.88 Median $398.11 Typical High $407.38 | Professional | None | $154.88 | $398.11 | $407.38 |
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 $141.25 Median $323.59 Typical High $512.86 | Professional | None | $141.25 | $323.59 | $512.86 |
Where Pennsylvania sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 35th of 51
$347
AK $851DC $191
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.