How much rates vary
Facilitymedian $832 · 10th to 90th $380 to $3,802Professionalmedian $204 · 10th to 90th $89 to $372
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 $234.42 Median $2,137.96 Typical High $8,317.64 | Facility | None | $234.42 | $2,137.96 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $186.21 Typical High $234.42 | Professional | None | $83.18 | $186.21 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $77.62 Typical High $117.49 | Professional | 52 · Reduced service | $41.69 | $77.62 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $30.90 Typical High $46.77 | Professional | 53 · Discontinued | $16.60 | $30.90 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $114.82 Typical High $173.78 | Professional | 54 · Surgery only | $61.66 | $114.82 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $22.91 Typical High $35.48 | Professional | 55 · Aftercare only | $12.30 | $22.91 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $15.49 Typical High $23.44 | Professional | 56 · Pre-op care only | $8.32 | $15.49 | $23.44 |
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 $204.17 Median $295.12 Typical High $416.87 | Professional | None | $204.17 | $295.12 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $645.65 Typical High $1,258.93 | Facility | None | $338.84 | $645.65 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $186.21 Typical High $281.84 | Professional | None | $87.10 | $186.21 | $281.84 |
Emblem Health Setting Professional Modifier None Typical Low $281.84 Median $389.05 Typical High $524.81 | Professional | None | $281.84 | $389.05 | $524.81 |
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 $120.23 Median $218.78 Typical High $389.05 | Professional | None | $120.23 | $218.78 | $389.05 |
Martin's Point Setting Facility Modifier None Typical Low $478.63 Median $2,137.96 Typical High $7,244.36 | Facility | None | $478.63 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $83.18 Median $190.55 Typical High $234.42 | Professional | None | $83.18 | $190.55 | $234.42 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $77.62 Typical High $117.49 | Professional | 52 · Reduced service | $41.69 | $77.62 | $117.49 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $30.90 Typical High $46.77 | Professional | 53 · Discontinued | $16.60 | $30.90 | $46.77 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $117.49 Typical High $173.78 | Professional | 54 · Surgery only | $61.66 | $117.49 | $173.78 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $23.44 Typical High $35.48 | Professional | 55 · Aftercare only | $12.30 | $23.44 | $35.48 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $15.49 Typical High $23.44 | Professional | 56 · Pre-op care only | $8.32 | $15.49 | $23.44 |
Oscar Health Setting Professional Modifier None Typical Low $141.25 Median $147.91 Typical High $446.68 | Professional | None | $141.25 | $147.91 | $446.68 |
UPMC Health Plan Setting Facility Modifier None Typical Low $107.15 Median $812.83 Typical High $1,862.09 | Facility | None | $107.15 | $812.83 | $1,862.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $87.10 Median $162.18 Typical High $204.17 | Professional | None | $87.10 | $162.18 | $204.17 |
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 $79.43 Median $165.96 Typical High $245.47 | Professional | None | $79.43 | $165.96 | $245.47 |
Where Pennsylvania sits
The same service costs 4.2 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· 23rd of 51
$204
AK $468DC $112
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.