How much rates vary
Facilitymedian $1,585 · 10th to 90th $447 to $5,012Professionalmedian $107 · 10th to 90th $91 to $186
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 $95.50 Median $107.15 Typical High $109.65 | Professional | None | $95.50 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $53.70 Typical High $54.95 | Professional | 52 · Reduced service | $47.86 | $53.70 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $21.38 Typical High $21.88 | Professional | 53 · Discontinued | $19.05 | $21.38 | $21.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $79.43 Typical High $81.28 | Professional | 54 · Surgery only | $72.44 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $15.85 Typical High $16.60 | Professional | 55 · Aftercare only | $14.45 | $15.85 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $10.72 Typical High $10.96 | Professional | 56 · Pre-op care only | $9.55 | $10.72 | $10.96 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $7,413.10 Typical High $56,234.13 | Facility | None | $3,981.07 | $7,413.10 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $208.93 | Professional | None | $107.15 | $107.15 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $1,348.96 Typical High $2,290.87 | Facility | None | $338.84 | $1,348.96 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $100.00 Typical High $223.87 | Professional | None | $91.20 | $100.00 | $223.87 |
Emblem Health Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $223.87 | Professional | None | $117.49 | $158.49 | $223.87 |
Geisinger Setting Facility Modifier None Typical Low $1,380.38 Median $1,737.80 Typical High $3,019.95 | Facility | None | $1,380.38 | $1,737.80 | $3,019.95 |
Geisinger Setting Professional Modifier None Typical Low $69.18 Median $102.33 Typical High $165.96 | Professional | None | $69.18 | $102.33 | $165.96 |
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 $95.50 Median $107.15 Typical High $109.65 | Professional | None | $95.50 | $107.15 | $109.65 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $53.70 Typical High $54.95 | Professional | 52 · Reduced service | $47.86 | $53.70 | $54.95 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $21.38 Typical High $21.88 | Professional | 53 · Discontinued | $19.05 | $21.38 | $21.88 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $79.43 Typical High $81.28 | Professional | 54 · Surgery only | $72.44 | $79.43 | $81.28 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $15.85 Typical High $16.60 | Professional | 55 · Aftercare only | $14.45 | $15.85 | $16.60 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $10.72 Typical High $10.96 | Professional | 56 · Pre-op care only | $9.55 | $10.72 | $10.96 |
Oscar Health Setting Professional Modifier None Typical Low $93.33 Median $97.72 Typical High $204.17 | Professional | None | $93.33 | $97.72 | $204.17 |
UPMC Health Plan Setting Facility Modifier None Typical Low $100.00 Median $1,122.02 Typical High $2,187.76 | Facility | None | $100.00 | $1,122.02 | $2,187.76 |
UPMC Health Plan Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $102.33 | Professional | None | $100.00 | $100.00 | $102.33 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $4,265.80 | Facility | None | $812.83 | $1,318.26 | $4,265.80 |
United Setting Professional Modifier None Typical Low $89.13 Median $104.71 Typical High $165.96 | Professional | None | $89.13 | $104.71 | $165.96 |
Where Pennsylvania sits
The same service costs 4.5 times more in Alaska than in New Jersey. 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· 43rd of 51
$107
AK $417NJ $93.33
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.