How much rates vary
Facilitymedian $2,512 · 10th to 90th $447 to $7,413Professionalmedian $123 · 10th to 90th $105 to $158
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 $109.65 Median $120.23 Typical High $123.03 | Professional | None | $109.65 | $120.23 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $60.26 Typical High $61.66 | Professional | 52 · Reduced service | $54.95 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.99 Typical High $24.55 | Professional | 53 · Discontinued | $21.88 | $23.99 | $24.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $91.20 Typical High $93.33 | Professional | 54 · Surgery only | $81.28 | $91.20 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $18.20 Typical High $18.62 | Professional | 55 · Aftercare only | $16.22 | $18.20 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $12.02 Typical High $12.30 | Professional | 56 · Pre-op care only | $10.96 | $12.02 | $12.30 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $7,413.10 Typical High $8,709.64 | Facility | None | $3,981.07 | $7,413.10 | $8,709.64 |
Capital Blue Cross Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $1,659.59 Typical High $7,079.46 | Facility | None | $354.81 | $1,659.59 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $112.20 Typical High $257.04 | Professional | None | $104.71 | $112.20 | $257.04 |
Emblem Health Setting Professional Modifier None Typical Low $131.83 Median $177.83 Typical High $229.09 | Professional | None | $131.83 | $177.83 | $229.09 |
Geisinger Setting Facility Modifier None Typical Low $4,265.80 Median $5,370.32 Typical High $9,332.54 | Facility | None | $4,265.80 | $5,370.32 | $9,332.54 |
Geisinger Setting Professional Modifier None Typical Low $93.33 Median $117.49 Typical High $194.98 | Professional | None | $93.33 | $117.49 | $194.98 |
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 $109.65 Median $120.23 Typical High $123.03 | Professional | None | $109.65 | $120.23 | $123.03 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $60.26 Typical High $61.66 | Professional | 52 · Reduced service | $54.95 | $60.26 | $61.66 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.99 Typical High $24.55 | Professional | 53 · Discontinued | $21.88 | $23.99 | $24.55 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $91.20 Typical High $93.33 | Professional | 54 · Surgery only | $81.28 | $91.20 | $93.33 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $18.20 Typical High $18.62 | Professional | 55 · Aftercare only | $16.22 | $18.20 | $18.62 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $12.02 Typical High $12.30 | Professional | 56 · Pre-op care only | $10.96 | $12.02 | $12.30 |
Oscar Health Setting Professional Modifier None Typical Low $104.71 Median $109.65 Typical High $239.88 | Professional | None | $104.71 | $109.65 | $239.88 |
UPMC Health Plan Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $114.82 | Facility | None | $95.50 | $95.50 | $114.82 |
UPMC Health Plan Setting Professional Modifier None Typical Low $95.50 Median $114.82 Typical High $114.82 | Professional | None | $95.50 | $114.82 | $114.82 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $6,025.60 | Facility | None | $1,148.15 | $1,905.46 | $6,025.60 |
United Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $190.55 | Professional | None | $102.33 | $120.23 | $190.55 |
Where Pennsylvania sits
The same service costs 4.8 times more in Alaska than in Utah. 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· 40th of 51
$123
AK $468UT $97.72
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.