How much rates vary
Facilitymedian $2,884 · 10th to 90th $589 to $8,710Professionalmedian $813 · 10th to 90th $209 to $1,514
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 $588.84 Median $2,951.21 Typical High $8,511.38 | Facility | None | $588.84 | $2,951.21 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $707.95 Typical High $933.25 | Professional | None | $204.17 | $707.95 | $933.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $173.78 Typical High $467.74 | Professional | 52 · Reduced service | $102.33 | $173.78 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $147.91 Typical High $186.21 | Professional | 53 · Discontinued | $40.74 | $147.91 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $263.03 Typical High $707.95 | Professional | 54 · Surgery only | $154.88 | $263.03 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $112.20 Typical High $141.25 | Professional | 55 · Aftercare only | $30.90 | $112.20 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $74.13 Typical High $93.33 | Professional | 56 · Pre-op care only | $20.42 | $74.13 | $93.33 |
Capital Blue Cross Setting Facility Modifier None Typical Low $6,760.83 Median $7,413.10 Typical High $56,234.13 | Facility | None | $6,760.83 | $7,413.10 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $776.25 Median $1,258.93 Typical High $1,862.09 | Professional | None | $776.25 | $1,258.93 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $549.54 Typical High $1,174.90 | Professional | None | $199.53 | $549.54 | $1,174.90 |
Emblem Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,348.96 Typical High $1,412.54 | Professional | None | $1,122.02 | $1,348.96 | $1,412.54 |
Geisinger Setting Professional Modifier None Typical Low $263.03 Median $851.14 Typical High $1,548.82 | Professional | None | $263.03 | $851.14 | $1,548.82 |
Highmark BCBS Setting Professional Modifier None Typical Low $208.93 Median $234.42 Typical High $245.47 | Professional | None | $208.93 | $234.42 | $245.47 |
Martin's Point Setting Facility Modifier None Typical Low $645.65 Median $2,630.27 Typical High $8,317.64 | Facility | None | $645.65 | $2,630.27 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $194.98 Median $707.95 Typical High $933.25 | Professional | None | $194.98 | $707.95 | $933.25 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $173.78 Typical High $467.74 | Professional | 52 · Reduced service | $100.00 | $173.78 | $467.74 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $147.91 Typical High $186.21 | Professional | 53 · Discontinued | $38.90 | $147.91 | $186.21 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $263.03 Typical High $707.95 | Professional | 54 · Surgery only | $147.91 | $263.03 | $707.95 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $112.20 Typical High $141.25 | Professional | 55 · Aftercare only | $29.51 | $112.20 | $141.25 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $74.13 Typical High $93.33 | Professional | 56 · Pre-op care only | $19.50 | $74.13 | $93.33 |
Oscar Health Setting Professional Modifier None Typical Low $131.83 Median $138.04 Typical High $1,479.11 | Professional | None | $131.83 | $138.04 | $1,479.11 |
UPMC Health Plan Setting Facility Modifier None Typical Low $204.17 Median $239.88 Typical High $870.96 | Facility | None | $204.17 | $239.88 | $870.96 |
UPMC Health Plan Setting Professional Modifier None Typical Low $204.17 Median $794.33 Typical High $870.96 | Professional | None | $204.17 | $794.33 | $870.96 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $3,981.07 Typical High $11,481.54 | Facility | None | $2,089.30 | $3,981.07 | $11,481.54 |
United Setting Professional Modifier None Typical Low $199.53 Median $676.08 Typical High $1,348.96 | Professional | None | $199.53 | $676.08 | $1,348.96 |
Where Pennsylvania sits
The same service costs 5.4 times more in Wisconsin than in Maryland. 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· 24th of 51
$813
WI $1,514MD $282
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.