How much rates vary
Facilitymedian $398 · 10th to 90th $120 to $3,020Professionalmedian $95 · 10th to 90th $45 to $182
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 $83.18 Median $1,819.70 Typical High $7,244.36 | Facility | None | $83.18 | $1,819.70 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $100.00 Typical High $141.25 | Professional | None | $44.67 | $100.00 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $48.98 Typical High $70.79 | Professional | 52 · Reduced service | $21.88 | $48.98 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $19.50 Typical High $28.18 | Professional | 53 · Discontinued | $8.91 | $19.50 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.11 Median $72.44 Typical High $104.71 | Professional | 54 · Surgery only | $33.11 | $72.44 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $14.79 Typical High $20.89 | Professional | 55 · Aftercare only | $6.61 | $14.79 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $9.77 Typical High $14.13 | Professional | 56 · Pre-op care only | $4.47 | $9.77 | $14.13 |
Ambetter Setting Professional Modifier None Typical Low $131.83 Median $257.04 Typical High $257.04 | Professional | None | $131.83 | $257.04 | $257.04 |
AmeriHealth Setting Professional Modifier None Typical Low $70.79 Median $141.25 Typical High $181.97 | Professional | None | $70.79 | $141.25 | $181.97 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,454.71 Median $2,570.40 Typical High $8,709.64 | Facility | None | $2,454.71 | $2,570.40 | $8,709.64 |
Capital Blue Cross Setting Professional Modifier None Typical Low $63.10 Median $186.21 Typical High $229.09 | Professional | None | $63.10 | $186.21 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $309.03 Typical High $549.54 | Facility | None | $128.82 | $309.03 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $95.50 Typical High $177.83 | Professional | None | $42.66 | $95.50 | $177.83 |
Emblem Health Setting Professional Modifier None Typical Low $12.30 Median $186.21 Typical High $263.03 | Professional | None | $12.30 | $186.21 | $263.03 |
Geisinger Setting Facility Modifier None Typical Low $114.82 Median $144.54 Typical High $251.19 | Facility | None | $114.82 | $144.54 | $251.19 |
Geisinger Setting Professional Modifier None Typical Low $28.84 Median $120.23 Typical High $229.09 | Professional | None | $28.84 | $120.23 | $229.09 |
Highmark BCBS Setting Facility Modifier None Typical Low $120.23 Median $537.03 Typical High $3,981.07 | Facility | None | $120.23 | $537.03 | $3,981.07 |
Highmark BCBS Setting Professional Modifier None Typical Low $50.12 Median $151.36 Typical High $204.17 | Professional | None | $50.12 | $151.36 | $204.17 |
Independence Blue Cross Setting Professional Modifier None Typical Low $70.79 Median $141.25 Typical High $162.18 | Professional | None | $70.79 | $141.25 | $162.18 |
Martin's Point Setting Facility Modifier None Typical Low $50.12 Median $1,584.89 Typical High $6,606.93 | Facility | None | $50.12 | $1,584.89 | $6,606.93 |
Martin's Point Setting Professional Modifier None Typical Low $44.67 Median $100.00 Typical High $141.25 | Professional | None | $44.67 | $100.00 | $141.25 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $48.98 Typical High $70.79 | Professional | 52 · Reduced service | $21.88 | $48.98 | $70.79 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $19.50 Typical High $28.18 | Professional | 53 · Discontinued | $8.91 | $19.50 | $28.18 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $33.11 Median $74.13 Typical High $104.71 | Professional | 54 · Surgery only | $33.11 | $74.13 | $104.71 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $14.79 Typical High $20.89 | Professional | 55 · Aftercare only | $6.61 | $14.79 | $20.89 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $9.77 Typical High $14.13 | Professional | 56 · Pre-op care only | $4.47 | $9.77 | $14.13 |
Oscar Health Setting Professional Modifier None Typical Low $67.61 Median $72.44 Typical High $229.09 | Professional | None | $67.61 | $72.44 | $229.09 |
UPMC Health Plan Setting Facility Modifier None Typical Low $48.98 Median $501.19 Typical High $1,148.15 | Facility | None | $48.98 | $501.19 | $1,148.15 |
UPMC Health Plan Setting Professional Modifier None Typical Low $46.77 Median $95.50 Typical High $123.03 | Professional | None | $46.77 | $95.50 | $123.03 |
United Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $2,290.87 | Facility | None | $199.53 | $436.52 | $2,290.87 |
United Setting Professional Modifier None Typical Low $41.69 Median $91.20 Typical High $158.49 | Professional | None | $41.69 | $91.20 | $158.49 |
Where Pennsylvania sits
The same service costs 3.5 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· 39th of 51
$95.50
AK $224DC $63.10
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.