How much rates vary
Facilitymedian $891 · 10th to 90th $479 to $3,981Professionalmedian $234 · 10th to 90th $214 to $457
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 $213.80 Median $234.42 Typical High $257.04 | Professional | None | $213.80 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $104.71 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $42.66 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $177.83 Typical High $177.83 | Professional | 54 · Surgery only | $158.49 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $35.48 Typical High $35.48 | Professional | 55 · Aftercare only | $31.62 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $23.44 Typical High $23.44 | Professional | 56 · Pre-op care only | $21.38 | $23.44 | $23.44 |
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 $223.87 Median $363.08 Typical High $478.63 | Professional | None | $223.87 | $363.08 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $776.25 Typical High $1,412.54 | Facility | None | $501.19 | $776.25 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $251.19 Typical High $524.81 | Professional | None | $218.78 | $251.19 | $524.81 |
Emblem Health Setting Professional Modifier None Typical Low $239.88 Median $316.23 Typical High $436.52 | Professional | None | $239.88 | $316.23 | $436.52 |
Geisinger Setting Facility Modifier None Typical Low $630.96 Median $794.33 Typical High $1,412.54 | Facility | None | $630.96 | $794.33 | $1,412.54 |
Geisinger Setting Professional Modifier None Typical Low $208.93 Median $263.03 Typical High $354.81 | Professional | None | $208.93 | $263.03 | $354.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
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 $213.80 Median $234.42 Typical High $234.42 | Professional | None | $213.80 | $234.42 | $234.42 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $104.71 | $117.49 | $117.49 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $42.66 | $46.77 | $46.77 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $173.78 Typical High $177.83 | Professional | 54 · Surgery only | $158.49 | $173.78 | $177.83 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $35.48 Typical High $35.48 | Professional | 55 · Aftercare only | $31.62 | $35.48 | $35.48 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $23.44 Typical High $23.44 | Professional | 56 · Pre-op care only | $21.38 | $23.44 | $23.44 |
Oscar Health Setting Professional Modifier None Typical Low $251.19 Median $380.19 Typical High $891.25 | Professional | None | $251.19 | $380.19 | $891.25 |
UPMC Health Plan Setting Facility Modifier None Typical Low $223.87 Median $269.15 Typical High $269.15 | Facility | None | $223.87 | $269.15 | $269.15 |
UPMC Health Plan Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $269.15 | Professional | None | $223.87 | $223.87 | $269.15 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $2,818.38 | Facility | None | $416.87 | $724.44 | $2,818.38 |
United Setting Professional Modifier None Typical Low $199.53 Median $239.88 Typical High $371.54 | Professional | None | $199.53 | $239.88 | $371.54 |
Where Pennsylvania sits
The same service costs 4.7 times more in Wyoming 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· 45th of 51
$234
WY $912UT $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.