How much rates vary
Facilitymedian $468 · 10th to 90th $186 to $3,311Professionalmedian $129 · 10th to 90th $78 to $234
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 $97.72 Median $1,288.25 Typical High $6,165.95 | Facility | None | $97.72 | $1,288.25 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $120.23 Typical High $181.97 | Professional | None | $70.79 | $120.23 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $54.95 Typical High $75.86 | Professional | 52 · Reduced service | $34.67 | $54.95 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $21.88 Typical High $30.20 | Professional | 53 · Discontinued | $14.13 | $21.88 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $83.18 Typical High $112.20 | Professional | 54 · Surgery only | $52.48 | $83.18 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $16.60 Typical High $22.39 | Professional | 55 · Aftercare only | $10.47 | $16.60 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $10.96 Typical High $15.14 | Professional | 56 · Pre-op care only | $7.08 | $10.96 | $15.14 |
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 $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $436.52 Typical High $645.65 | Facility | None | $309.03 | $436.52 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $131.83 Typical High $251.19 | Professional | None | $81.28 | $131.83 | $251.19 |
Emblem Health Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $239.88 | Professional | None | $229.09 | $229.09 | $239.88 |
Geisinger Setting Facility Modifier None Typical Low $302.00 Median $380.19 Typical High $660.69 | Facility | None | $302.00 | $380.19 | $660.69 |
Geisinger Setting Professional Modifier None Typical Low $97.72 Median $181.97 Typical High $295.12 | Professional | None | $97.72 | $181.97 | $295.12 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $1,659.59 Typical High $3,981.07 | Facility | None | $1,096.48 | $1,659.59 | $3,981.07 |
Martin's Point Setting Facility Modifier None Typical Low $120.23 Median $1,584.89 Typical High $6,165.95 | Facility | None | $120.23 | $1,584.89 | $6,165.95 |
Martin's Point Setting Professional Modifier None Typical Low $70.79 Median $120.23 Typical High $186.21 | Professional | None | $70.79 | $120.23 | $186.21 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $52.48 Typical High $75.86 | Professional | 52 · Reduced service | $34.67 | $52.48 | $75.86 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $20.89 Typical High $30.20 | Professional | 53 · Discontinued | $14.13 | $20.89 | $30.20 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $79.43 Typical High $112.20 | Professional | 54 · Surgery only | $52.48 | $79.43 | $112.20 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $15.85 Typical High $22.39 | Professional | 55 · Aftercare only | $10.47 | $15.85 | $22.39 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $10.47 Typical High $15.14 | Professional | 56 · Pre-op care only | $7.08 | $10.47 | $15.14 |
Oscar Health Setting Professional Modifier None Typical Low $158.49 Median $234.42 Typical High $363.08 | Professional | None | $158.49 | $234.42 | $363.08 |
UPMC Health Plan Setting Facility Modifier None Typical Low $125.89 Median $812.83 Typical High $1,862.09 | Facility | None | $125.89 | $812.83 | $1,862.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $77.62 Median $128.82 Typical High $234.42 | Professional | None | $77.62 | $128.82 | $234.42 |
United Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $2,089.30 | Facility | None | $199.53 | $436.52 | $2,089.30 |
United Setting Professional Modifier None Typical Low $79.43 Median $131.83 Typical High $234.42 | Professional | None | $79.43 | $131.83 | $234.42 |
Where Pennsylvania sits
The same service costs 3.6 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· 44th of 51
$145
WI $417KY $115
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.