How much rates vary
Facilitymedian $646 · 10th to 90th $170 to $6,166Professionalmedian $107 · 10th to 90th $95 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 $114.82 Median $4,897.79 Typical High $8,511.38 | Facility | None | $114.82 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $109.65 Typical High $114.82 | Professional | None | $100.00 | $109.65 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $54.95 Typical High $56.23 | Professional | 52 · Reduced service | $50.12 | $54.95 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $22.39 Typical High $22.91 | Professional | 53 · Discontinued | $19.95 | $22.39 | $22.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $83.18 Typical High $85.11 | Professional | 54 · Surgery only | $75.86 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $16.60 Typical High $16.98 | Professional | 55 · Aftercare only | $15.14 | $16.60 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.96 Typical High $11.48 | Professional | 56 · Pre-op care only | $10.00 | $10.96 | $11.48 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $28,183.83 Typical High $56,234.13 | Facility | None | $3,981.07 | $28,183.83 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $269.15 | Professional | None | $107.15 | $107.15 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $660.69 Typical High $2,290.87 | Facility | None | $380.19 | $660.69 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $102.33 Typical High $213.80 | Professional | None | $95.50 | $102.33 | $213.80 |
Emblem Health Setting Professional Modifier None Typical Low $112.20 Median $154.88 Typical High $213.80 | Professional | None | $112.20 | $154.88 | $213.80 |
Geisinger Setting Professional Modifier None Typical Low $97.72 Median $109.65 Typical High $190.55 | Professional | None | $97.72 | $109.65 | $190.55 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $3,801.89 Typical High $8,709.64 | Facility | None | $537.03 | $3,801.89 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $100.00 Median $109.65 Typical High $114.82 | Professional | None | $100.00 | $109.65 | $114.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $54.95 Typical High $56.23 | Professional | 52 · Reduced service | $50.12 | $54.95 | $56.23 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $22.39 Typical High $22.91 | Professional | 53 · Discontinued | $19.95 | $22.39 | $22.91 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $83.18 Typical High $85.11 | Professional | 54 · Surgery only | $75.86 | $83.18 | $85.11 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $16.60 Typical High $16.98 | Professional | 55 · Aftercare only | $15.14 | $16.60 | $16.98 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.96 Typical High $11.48 | Professional | 56 · Pre-op care only | $10.00 | $10.96 | $11.48 |
Oscar Health Setting Professional Modifier None Typical Low $125.89 Median $131.83 Typical High $213.80 | Professional | None | $125.89 | $131.83 | $213.80 |
UPMC Health Plan Setting Facility Modifier None Typical Low $97.72 Median $181.97 Typical High $302.00 | Facility | None | $97.72 | $181.97 | $302.00 |
UPMC Health Plan Setting Professional Modifier None Typical Low $97.72 Median $104.71 Typical High $107.15 | Professional | None | $97.72 | $104.71 | $107.15 |
United Setting Facility Modifier None Typical Low $199.53 Median $562.34 Typical High $4,265.80 | Facility | None | $199.53 | $562.34 | $4,265.80 |
United Setting Professional Modifier None Typical Low $95.50 Median $112.20 Typical High $169.82 | Professional | None | $95.50 | $112.20 | $169.82 |
Where Pennsylvania sits
The same service costs 4.4 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· 44th of 51
$110
AK $427NJ $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.