How much rates vary
Facilitymedian $741 · 10th to 90th $380 to $3,802Professionalmedian $209 · 10th to 90th $78 to $339
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 $251.19 Median $2,137.96 Typical High $8,317.64 | Facility | None | $251.19 | $2,137.96 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $154.88 Typical High $251.19 | Professional | None | $74.13 | $154.88 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $77.62 Typical High $125.89 | Professional | 52 · Reduced service | $37.15 | $77.62 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $30.90 Typical High $50.12 | Professional | 53 · Discontinued | $14.79 | $30.90 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $114.82 Typical High $186.21 | Professional | 54 · Surgery only | $56.23 | $114.82 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $22.91 Typical High $37.15 | Professional | 55 · Aftercare only | $11.22 | $22.91 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $15.49 Typical High $25.12 | Professional | 56 · Pre-op care only | $7.41 | $15.49 | $25.12 |
Ambetter Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
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 $208.93 Median $316.23 Typical High $389.05 | Professional | None | $208.93 | $316.23 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $537.03 Typical High $977.24 | Facility | None | $338.84 | $537.03 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $165.96 Typical High $281.84 | Professional | None | $77.62 | $165.96 | $281.84 |
Emblem Health Setting Professional Modifier None Typical Low $288.40 Median $398.11 Typical High $524.81 | Professional | None | $288.40 | $398.11 | $524.81 |
Geisinger Setting Facility Modifier None Typical Low $501.19 Median $616.60 Typical High $1,096.48 | Facility | None | $501.19 | $616.60 | $1,096.48 |
Geisinger Setting Professional Modifier None Typical Low $107.15 Median $223.87 Typical High $389.05 | Professional | None | $107.15 | $223.87 | $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 $74.13 Median $154.88 Typical High $251.19 | Professional | None | $74.13 | $154.88 | $251.19 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $77.62 Typical High $125.89 | Professional | 52 · Reduced service | $37.15 | $77.62 | $125.89 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $30.90 Typical High $50.12 | Professional | 53 · Discontinued | $14.79 | $30.90 | $50.12 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $114.82 Typical High $186.21 | Professional | 54 · Surgery only | $56.23 | $114.82 | $186.21 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $23.44 Typical High $37.15 | Professional | 55 · Aftercare only | $11.22 | $23.44 | $37.15 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $15.49 Typical High $25.12 | Professional | 56 · Pre-op care only | $7.41 | $15.49 | $25.12 |
Oscar Health Setting Professional Modifier None Typical Low $162.18 Median $169.82 Typical High $371.54 | Professional | None | $162.18 | $169.82 | $371.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $93.33 Median $812.83 Typical High $1,862.09 | Facility | None | $93.33 | $812.83 | $1,862.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $77.62 Median $141.25 Typical High $213.80 | Professional | None | $77.62 | $141.25 | $213.80 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $2,630.27 | Facility | None | $416.87 | $724.44 | $2,630.27 |
United Setting Professional Modifier None Typical Low $70.79 Median $147.91 Typical High $257.04 | Professional | None | $70.79 | $147.91 | $257.04 |
Where Pennsylvania sits
The same service costs 4.1 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· 20th of 51
$209
AK $398DC $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.