How much rates vary
Facilitymedian $324 · 10th to 90th $69 to $5,754Professionalmedian $93 · 10th to 90th $50 to $166
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 $85.11 Median $1,819.70 Typical High $7,244.36 | Facility | None | $85.11 | $1,819.70 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $85.11 Typical High $138.04 | Professional | None | $45.71 | $85.11 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $38.90 Typical High $53.70 | Professional | 52 · Reduced service | $22.91 | $38.90 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $15.49 Typical High $21.38 | Professional | 53 · Discontinued | $9.12 | $15.49 | $21.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.88 Median $58.88 Typical High $79.43 | Professional | 54 · Surgery only | $33.88 | $58.88 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $11.75 Typical High $15.85 | Professional | 55 · Aftercare only | $6.76 | $11.75 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $7.76 Typical High $10.72 | Professional | 56 · Pre-op care only | $4.57 | $7.76 | $10.72 |
AmeriHealth Setting Facility Modifier None Typical Low $691.83 Median $6,456.54 Typical High $10,232.93 | Facility | None | $691.83 | $6,456.54 | $10,232.93 |
AmeriHealth Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $131.83 | Professional | None | $102.33 | $102.33 | $131.83 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $56,234.13 | Facility | None | $1,202.26 | $1,412.54 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $95.50 Median $165.96 Typical High $173.78 | Professional | None | $95.50 | $165.96 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $245.47 Typical High $549.54 | Facility | None | $72.44 | $245.47 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $93.33 Typical High $162.18 | Professional | None | $52.48 | $93.33 | $162.18 |
Emblem Health Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $173.78 | Professional | None | $165.96 | $165.96 | $173.78 |
Geisinger Setting Facility Modifier None Typical Low $66.07 Median $83.18 Typical High $144.54 | Facility | None | $66.07 | $83.18 | $144.54 |
Geisinger Setting Professional Modifier None Typical Low $69.18 Median $128.82 Typical High $208.93 | Professional | None | $69.18 | $128.82 | $208.93 |
Highmark BCBS Setting Facility Modifier None Typical Low $165.96 Median $512.86 Typical High $1,412.54 | Facility | None | $165.96 | $512.86 | $1,412.54 |
Independence Blue Cross Setting Facility Modifier None Typical Low $354.81 Median $4,570.88 Typical High $10,232.93 | Facility | None | $354.81 | $4,570.88 | $10,232.93 |
Independence Blue Cross Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $117.49 | Professional | None | $102.33 | $102.33 | $117.49 |
Martin's Point Setting Facility Modifier None Typical Low $100.00 Median $1,584.89 Typical High $6,606.93 | Facility | None | $100.00 | $1,584.89 | $6,606.93 |
Martin's Point Setting Professional Modifier None Typical Low $45.71 Median $85.11 Typical High $141.25 | Professional | None | $45.71 | $85.11 | $141.25 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $37.15 Typical High $53.70 | Professional | 52 · Reduced service | $22.91 | $37.15 | $53.70 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $14.79 Typical High $21.38 | Professional | 53 · Discontinued | $9.12 | $14.79 | $21.38 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $33.88 Median $54.95 Typical High $79.43 | Professional | 54 · Surgery only | $33.88 | $54.95 | $79.43 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $10.96 Typical High $15.85 | Professional | 55 · Aftercare only | $6.76 | $10.96 | $15.85 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $7.41 Typical High $10.72 | Professional | 56 · Pre-op care only | $4.57 | $7.41 | $10.72 |
Oscar Health Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $257.04 | Professional | None | $114.82 | $134.90 | $257.04 |
UPMC Health Plan Setting Facility Modifier None Typical Low $67.61 Median $114.82 Typical High $199.53 | Facility | None | $67.61 | $114.82 | $199.53 |
UPMC Health Plan Setting Professional Modifier None Typical Low $50.12 Median $91.20 Typical High $114.82 | Professional | None | $50.12 | $91.20 | $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 $52.48 Median $93.33 Typical High $158.49 | Professional | None | $52.48 | $93.33 | $158.49 |
Where Pennsylvania sits
The same service costs 2.8 times more in Wisconsin than in Kentucky. 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· 47th of 51
$95.50
WI $257KY $91.20
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.