How much rates vary
Facilitymedian $676 · 10th to 90th $240 to $6,166Professionalmedian $251 · 10th to 90th $229 to $347
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 $257.04 Median $4,897.79 Typical High $8,511.38 | Facility | None | $257.04 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $251.19 Typical High $257.04 | Professional | None | $229.09 | $251.19 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $125.89 Typical High $128.82 | Professional | 52 · Reduced service | $112.20 | $125.89 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $50.12 Typical High $51.29 | Professional | 53 · Discontinued | $45.71 | $50.12 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $186.21 Typical High $190.55 | Professional | 54 · Surgery only | $169.82 | $186.21 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $38.02 Typical High $38.90 | Professional | 55 · Aftercare only | $33.88 | $38.02 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $25.12 Typical High $25.70 | Professional | 56 · Pre-op care only | $22.91 | $25.12 | $25.70 |
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 $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $645.65 Typical High $2,089.30 | Facility | None | $446.68 | $645.65 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $234.42 Typical High $478.63 | Professional | None | $229.09 | $234.42 | $478.63 |
Emblem Health Setting Professional Modifier None Typical Low $263.03 Median $354.81 Typical High $489.78 | Professional | None | $263.03 | $354.81 | $489.78 |
Geisinger Setting Professional Modifier None Typical Low $223.87 Median $257.04 Typical High $426.58 | Professional | None | $223.87 | $257.04 | $426.58 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $3,801.89 Typical High $8,709.64 | Facility | None | $537.03 | $3,801.89 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $229.09 Median $251.19 Typical High $257.04 | Professional | None | $229.09 | $251.19 | $257.04 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $125.89 Typical High $128.82 | Professional | 52 · Reduced service | $112.20 | $125.89 | $128.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $50.12 Typical High $51.29 | Professional | 53 · Discontinued | $45.71 | $50.12 | $51.29 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $186.21 Typical High $190.55 | Professional | 54 · Surgery only | $169.82 | $186.21 | $190.55 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $38.02 Typical High $38.90 | Professional | 55 · Aftercare only | $33.88 | $38.02 | $38.90 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $25.12 Typical High $25.70 | Professional | 56 · Pre-op care only | $22.91 | $25.12 | $25.70 |
Oscar Health Setting Professional Modifier None Typical Low $275.42 Median $288.40 Typical High $501.19 | Professional | None | $275.42 | $288.40 | $501.19 |
UPMC Health Plan Setting Facility Modifier None Typical Low $234.42 Median $295.12 Typical High $295.12 | Facility | None | $234.42 | $295.12 | $295.12 |
UPMC Health Plan Setting Professional Modifier None Typical Low $234.42 Median $239.88 Typical High $295.12 | Professional | None | $234.42 | $239.88 | $295.12 |
United Setting Facility Modifier None Typical Low $199.53 Median $562.34 Typical High $4,265.80 | Facility | None | $199.53 | $562.34 | $4,265.80 |
United Setting Professional Modifier None Typical Low $218.78 Median $251.19 Typical High $389.05 | Professional | None | $218.78 | $251.19 | $389.05 |
Where Pennsylvania sits
The same service costs 5.0 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· 40th of 51
$251
AK $977UT $195
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.