How much rates vary
Facilitymedian $851 · 10th to 90th $417 to $3,802Professionalmedian $661 · 10th to 90th $78 to $1,072
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 $2,137.96 Typical High $8,317.64 | Facility | None | $537.03 | $2,137.96 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $630.96 Typical High $1,071.52 | Professional | None | $77.62 | $630.96 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $229.09 Typical High $537.03 | Professional | 52 · Reduced service | $38.90 | $229.09 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $91.20 Typical High $213.80 | Professional | 53 · Discontinued | $15.85 | $91.20 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $338.84 Typical High $812.83 | Professional | 54 · Surgery only | $58.88 | $338.84 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $67.61 Typical High $162.18 | Professional | 55 · Aftercare only | $11.75 | $67.61 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $45.71 Typical High $107.15 | Professional | 56 · Pre-op care only | $7.76 | $45.71 | $107.15 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $4,365.16 Typical High $8,709.64 | Facility | None | $3,981.07 | $4,365.16 | $8,709.64 |
Capital Blue Cross Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $794.33 | Professional | None | $123.03 | $123.03 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $645.65 Typical High $1,258.93 | Facility | None | $354.81 | $645.65 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $758.58 Typical High $1,174.90 | Professional | None | $70.79 | $758.58 | $1,174.90 |
Emblem Health Setting Professional Modifier None Typical Low $20.42 Median $1,288.25 Typical High $1,778.28 | Professional | None | $20.42 | $1,288.25 | $1,778.28 |
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 $33.88 Median $912.01 Typical High $1,621.81 | Professional | None | $33.88 | $912.01 | $1,621.81 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $2,137.96 Typical High $7,244.36 | Facility | None | $537.03 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $77.62 Median $660.69 Typical High $1,071.52 | Professional | None | $77.62 | $660.69 | $1,071.52 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $229.09 Typical High $537.03 | Professional | 52 · Reduced service | $38.90 | $229.09 | $537.03 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $91.20 Typical High $213.80 | Professional | 53 · Discontinued | $15.85 | $91.20 | $213.80 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $338.84 Typical High $812.83 | Professional | 54 · Surgery only | $58.88 | $338.84 | $812.83 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $67.61 Typical High $162.18 | Professional | 55 · Aftercare only | $11.75 | $67.61 | $162.18 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $100.00 Typical High $107.15 | Professional | 56 · Pre-op care only | $91.20 | $100.00 | $107.15 |
Oscar Health Setting Professional Modifier None Typical Low $77.62 Median $83.18 Typical High $1,778.28 | Professional | None | $77.62 | $83.18 | $1,778.28 |
UPMC Health Plan Setting Facility Modifier None Typical Low $389.05 Median $691.83 Typical High $1,122.02 | Facility | None | $389.05 | $691.83 | $1,122.02 |
UPMC Health Plan Setting Professional Modifier None Typical Low $83.18 Median $660.69 Typical High $912.01 | Professional | None | $83.18 | $660.69 | $912.01 |
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 $74.13 Median $177.83 Typical High $1,202.26 | Professional | None | $74.13 | $177.83 | $1,202.26 |
Where Pennsylvania sits
The same service costs 14.1 times more in Washington 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
$661
WA $1,288KY $91.20
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.