How much rates vary
Facilitymedian $832 · 10th to 90th $380 to $3,890Professionalmedian $178 · 10th to 90th $102 to $251
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 $239.88 Median $2,137.96 Typical High $8,317.64 | Facility | None | $239.88 | $2,137.96 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $194.98 Typical High $239.88 | Professional | None | $102.33 | $194.98 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $83.18 Typical High $120.23 | Professional | 52 · Reduced service | $51.29 | $83.18 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $33.11 Typical High $47.86 | Professional | 53 · Discontinued | $20.42 | $33.11 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $125.89 Typical High $181.97 | Professional | 54 · Surgery only | $75.86 | $125.89 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $25.12 Typical High $36.31 | Professional | 55 · Aftercare only | $15.49 | $25.12 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $16.60 Typical High $23.99 | Professional | 56 · Pre-op care only | $10.23 | $16.60 | $23.99 |
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 $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
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 $100.00 Median $186.21 Typical High $288.40 | Professional | None | $100.00 | $186.21 | $288.40 |
Emblem Health Setting Professional Modifier None Typical Low $40.74 Median $147.91 Typical High $407.38 | Professional | None | $40.74 | $147.91 | $407.38 |
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 $95.50 Median $223.87 Typical High $380.19 | Professional | None | $95.50 | $223.87 | $380.19 |
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 $102.33 Median $204.17 Typical High $239.88 | Professional | None | $102.33 | $204.17 | $239.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $83.18 Typical High $120.23 | Professional | 52 · Reduced service | $51.29 | $83.18 | $120.23 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $33.88 Typical High $47.86 | Professional | 53 · Discontinued | $20.42 | $33.88 | $47.86 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $125.89 Typical High $181.97 | Professional | 54 · Surgery only | $75.86 | $125.89 | $181.97 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $25.12 Typical High $36.31 | Professional | 55 · Aftercare only | $15.49 | $25.12 | $36.31 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $16.60 Typical High $23.99 | Professional | 56 · Pre-op care only | $10.23 | $16.60 | $23.99 |
Oscar Health Setting Professional Modifier None Typical Low $147.91 Median $158.49 Typical High $426.58 | Professional | None | $147.91 | $158.49 | $426.58 |
UPMC Health Plan Setting Facility Modifier None Typical Low $109.65 Median $812.83 Typical High $1,862.09 | Facility | None | $109.65 | $812.83 | $1,862.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $107.15 Median $169.82 Typical High $213.80 | Professional | None | $107.15 | $169.82 | $213.80 |
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 $97.72 Median $177.83 Typical High $257.04 | Professional | None | $97.72 | $177.83 | $257.04 |
Where Pennsylvania sits
The same service costs 3.8 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· 41st of 51
$178
AK $490DC $129
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.