How much rates vary
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 $660.69 Median $4,073.80 Typical High $8,511.38 | Facility | None | $660.69 | $4,073.80 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $660.69 | Professional | None | $575.44 | $630.96 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $467.74 Typical High $489.78 | Professional | 54 · Surgery only | $436.52 | $467.74 | $489.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $446.68 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $407.38 | $446.68 | $457.09 |
Ambetter Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $28,183.83 Typical High $56,234.13 | Facility | None | $3,981.07 | $28,183.83 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $691.83 Median $776.25 Typical High $1,348.96 | Professional | None | $691.83 | $776.25 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $6,760.83 Typical High $16,218.10 | Facility | None | $1,000.00 | $6,760.83 | $16,218.10 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $630.96 Typical High $2,187.76 | Professional | None | $457.09 | $630.96 | $2,187.76 |
Emblem Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,479.11 Typical High $2,137.96 | Professional | None | $1,122.02 | $1,479.11 | $2,137.96 |
Geisinger Setting Professional Modifier None Typical Low $724.44 Median $741.31 Typical High $1,122.02 | Professional | None | $724.44 | $741.31 | $1,122.02 |
Martin's Point Setting Facility Modifier None Typical Low $724.44 Median $3,801.89 Typical High $8,317.64 | Facility | None | $724.44 | $3,801.89 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $660.69 | Professional | None | $575.44 | $630.96 | $660.69 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $467.74 Typical High $489.78 | Professional | 54 · Surgery only | $436.52 | $467.74 | $489.78 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $446.68 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $407.38 | $446.68 | $457.09 |
Oscar Health Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
UPMC Health Plan Setting Facility Modifier None Typical Low $724.44 Median $758.58 Typical High $758.58 | Facility | None | $724.44 | $758.58 | $758.58 |
UPMC Health Plan Setting Professional Modifier None Typical Low $724.44 Median $741.31 Typical High $758.58 | Professional | None | $724.44 | $741.31 | $758.58 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $5,495.41 Typical High $14,125.38 | Facility | None | $2,818.38 | $5,495.41 | $14,125.38 |
United Setting Professional Modifier None Typical Low $501.19 Median $707.95 Typical High $1,380.38 | Professional | None | $501.19 | $707.95 | $1,380.38 |
Where Pennsylvania sits
The same service costs 8.3 times more in South Dakota than in Kentucky. 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· 32nd of 51
$741
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.