How much rates vary
Facilitymedian $288 · 10th to 90th $65 to $4,898Professionalmedian $85 · 10th to 90th $38 to $162
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 $131.83 Median $2,137.96 Typical High $7,943.28 | Facility | None | $131.83 | $2,137.96 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $81.28 Typical High $131.83 | Professional | None | $38.02 | $81.28 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $38.02 Typical High $66.07 | Professional | 52 · Reduced service | $18.62 | $38.02 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $15.14 Typical High $26.30 | Professional | 53 · Discontinued | $7.59 | $15.14 | $26.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $28.18 Median $56.23 Typical High $100.00 | Professional | 54 · Surgery only | $28.18 | $56.23 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $11.22 Typical High $19.95 | Professional | 55 · Aftercare only | $5.62 | $11.22 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $7.59 Typical High $13.18 | Professional | 56 · Pre-op care only | $3.80 | $7.59 | $13.18 |
Ambetter Setting Professional Modifier None Typical Low $120.23 Median $165.96 Typical High $194.98 | Professional | None | $120.23 | $165.96 | $194.98 |
AmeriHealth Setting Facility Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $7,585.78 | Facility | None | $7,585.78 | $7,585.78 | $7,585.78 |
AmeriHealth Setting Professional Modifier None Typical Low $64.57 Median $128.82 Typical High $141.25 | Professional | None | $64.57 | $128.82 | $141.25 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $5,011.87 Typical High $56,234.13 | Facility | None | $3,981.07 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $181.97 | Professional | None | $114.82 | $114.82 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $120.23 | Facility | None | $50.12 | $66.07 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $77.62 Typical High $154.88 | Professional | None | $34.67 | $77.62 | $154.88 |
Emblem Health Setting Professional Modifier None Typical Low $154.88 Median $213.80 Typical High $281.84 | Professional | None | $154.88 | $213.80 | $281.84 |
Geisinger Setting Professional Modifier None Typical Low $36.31 Median $102.33 Typical High $190.55 | Professional | None | $36.31 | $102.33 | $190.55 |
Highmark BCBS Setting Facility Modifier None Typical Low $204.17 Median $436.52 Typical High $4,073.80 | Facility | None | $204.17 | $436.52 | $4,073.80 |
Highmark BCBS Setting Professional Modifier None Typical Low $51.29 Median $134.90 Typical High $213.80 | Professional | None | $51.29 | $134.90 | $213.80 |
Independence Blue Cross Setting Facility Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $9,549.93 | Facility | None | $7,585.78 | $7,585.78 | $9,549.93 |
Independence Blue Cross Setting Professional Modifier None Typical Low $64.57 Median $128.82 Typical High $151.36 | Professional | None | $64.57 | $128.82 | $151.36 |
Martin's Point Setting Facility Modifier None Typical Low $245.47 Median $1,995.26 Typical High $7,244.36 | Facility | None | $245.47 | $1,995.26 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $38.02 Median $81.28 Typical High $131.83 | Professional | None | $38.02 | $81.28 | $131.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $38.02 Typical High $66.07 | Professional | 52 · Reduced service | $18.62 | $38.02 | $66.07 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $15.14 Typical High $26.30 | Professional | 53 · Discontinued | $7.59 | $15.14 | $26.30 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $28.18 Median $56.23 Typical High $100.00 | Professional | 54 · Surgery only | $28.18 | $56.23 | $100.00 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $11.22 Typical High $19.95 | Professional | 55 · Aftercare only | $5.62 | $11.22 | $19.95 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $7.59 Typical High $13.18 | Professional | 56 · Pre-op care only | $3.80 | $7.59 | $13.18 |
Oscar Health Setting Professional Modifier None Typical Low $53.70 Median $56.23 Typical High $194.98 | Professional | None | $53.70 | $56.23 | $194.98 |
UPMC Health Plan Setting Facility Modifier None Typical Low $72.44 Median $134.90 Typical High $295.12 | Facility | None | $72.44 | $134.90 | $295.12 |
UPMC Health Plan Setting Professional Modifier None Typical Low $39.81 Median $75.86 Typical High $114.82 | Professional | None | $39.81 | $75.86 | $114.82 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,230.27 | Facility | None | $77.62 | $158.49 | $1,230.27 |
United Setting Professional Modifier None Typical Low $35.48 Median $70.79 Typical High $131.83 | Professional | None | $35.48 | $70.79 | $131.83 |
Where Pennsylvania sits
The same service costs 3.4 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· 34th of 51
$87.10
AK $178DC $52.48
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.