How much rates vary
Facilitymedian $1,585 · 10th to 90th $132 to $6,166Professionalmedian $107 · 10th to 90th $66 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 $131.83 Median $2,344.23 Typical High $8,317.64 | Facility | None | $131.83 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $97.72 Typical High $131.83 | Professional | None | $61.66 | $97.72 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $42.66 Typical High $66.07 | Professional | 52 · Reduced service | $30.90 | $42.66 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $16.98 Typical High $26.30 | Professional | 53 · Discontinued | $12.30 | $16.98 | $26.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $45.71 Median $64.57 Typical High $97.72 | Professional | 54 · Surgery only | $45.71 | $64.57 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $12.88 Typical High $19.95 | Professional | 55 · Aftercare only | $9.12 | $12.88 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $8.51 Typical High $13.18 | Professional | 56 · Pre-op care only | $6.17 | $8.51 | $13.18 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $104.71 Typical High $186.21 | Professional | None | $66.07 | $104.71 | $186.21 |
Emblem Health Setting Professional Modifier None Typical Low $162.18 Median $190.55 Typical High $204.17 | Professional | None | $162.18 | $190.55 | $204.17 |
Geisinger Setting Professional Modifier None Typical Low $81.28 Median $125.89 Typical High $251.19 | Professional | None | $81.28 | $125.89 | $251.19 |
Highmark BCBS Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Highmark BCBS Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $97.72 | Professional | None | $85.11 | $85.11 | $97.72 |
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 $61.66 Median $97.72 Typical High $131.83 | Professional | None | $61.66 | $97.72 | $131.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $42.66 Typical High $66.07 | Professional | 52 · Reduced service | $30.90 | $42.66 | $66.07 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $16.98 Typical High $26.30 | Professional | 53 · Discontinued | $12.30 | $16.98 | $26.30 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $45.71 Median $64.57 Typical High $97.72 | Professional | 54 · Surgery only | $45.71 | $64.57 | $97.72 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $12.88 Typical High $19.95 | Professional | 55 · Aftercare only | $9.12 | $12.88 | $19.95 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $8.51 Typical High $13.18 | Professional | 56 · Pre-op care only | $6.17 | $8.51 | $13.18 |
Oscar Health Setting Professional Modifier None Typical Low $208.93 Median $467.74 Typical High $549.54 | Professional | None | $208.93 | $467.74 | $549.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $114.82 Median $977.24 Typical High $1,778.28 | Facility | None | $114.82 | $977.24 | $1,778.28 |
UPMC Health Plan Setting Professional Modifier None Typical Low $67.61 Median $194.98 Typical High $575.44 | Professional | None | $67.61 | $194.98 | $575.44 |
United Setting Facility Modifier None Typical Low $169.82 Median $524.81 Typical High $3,890.45 | Facility | None | $169.82 | $524.81 | $3,890.45 |
United Setting Professional Modifier None Typical Low $70.79 Median $107.15 Typical High $213.80 | Professional | None | $70.79 | $107.15 | $213.80 |
Where Pennsylvania sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 39th of 51
$110
AK $282FL $87.10
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.