How much rates vary
Facilitymedian $661 · 10th to 90th $331 to $3,890Professionalmedian $309 · 10th to 90th $186 to $427
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 $389.05 Median $2,818.38 Typical High $8,511.38 | Facility | None | $389.05 | $2,818.38 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $302.00 Typical High $389.05 | Professional | None | $169.82 | $302.00 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $120.23 Typical High $194.98 | Professional | 52 · Reduced service | $85.11 | $120.23 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $50.12 Typical High $77.62 | Professional | 53 · Discontinued | $34.67 | $50.12 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $177.83 Typical High $295.12 | Professional | 54 · Surgery only | $128.82 | $177.83 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $35.48 Typical High $58.88 | Professional | 55 · Aftercare only | $25.70 | $35.48 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $24.55 Typical High $38.90 | Professional | 56 · Pre-op care only | $16.98 | $24.55 | $38.90 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $6,025.60 Typical High $8,709.64 | Facility | None | $3,981.07 | $6,025.60 | $8,709.64 |
Capital Blue Cross Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $56,234.13 | Professional | None | $302.00 | $302.00 | $56,234.13 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $489.78 Typical High $851.14 | Facility | None | $331.13 | $489.78 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $295.12 Typical High $537.03 | Professional | None | $186.21 | $295.12 | $537.03 |
Emblem Health Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $549.54 | Professional | None | $524.81 | $524.81 | $549.54 |
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 $208.93 Median $363.08 Typical High $549.54 | Professional | None | $208.93 | $363.08 | $549.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Martin's Point Setting Facility Modifier None Typical Low $575.44 Median $2,630.27 Typical High $8,317.64 | Facility | None | $575.44 | $2,630.27 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $169.82 Median $302.00 Typical High $389.05 | Professional | None | $169.82 | $302.00 | $389.05 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $117.49 Typical High $194.98 | Professional | 52 · Reduced service | $85.11 | $117.49 | $194.98 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $46.77 Typical High $77.62 | Professional | 53 · Discontinued | $34.67 | $46.77 | $77.62 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $177.83 Typical High $295.12 | Professional | 54 · Surgery only | $128.82 | $177.83 | $295.12 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $35.48 Typical High $58.88 | Professional | 55 · Aftercare only | $25.70 | $35.48 | $58.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $23.44 Typical High $38.90 | Professional | 56 · Pre-op care only | $16.98 | $23.44 | $38.90 |
Oscar Health Setting Professional Modifier None Typical Low $407.38 Median $446.68 Typical High $645.65 | Professional | None | $407.38 | $446.68 | $645.65 |
UPMC Health Plan Setting Facility Modifier None Typical Low $213.80 Median $1,071.52 Typical High $2,511.89 | Facility | None | $213.80 | $1,071.52 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $190.55 Median $331.13 Typical High $389.05 | Professional | None | $190.55 | $331.13 | $389.05 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $2,398.83 | Facility | None | $416.87 | $724.44 | $2,398.83 |
United Setting Professional Modifier None Typical Low $199.53 Median $323.59 Typical High $524.81 | Professional | None | $199.53 | $323.59 | $524.81 |
Where Pennsylvania sits
The same service costs 3.0 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
$324
WI $891KY $295
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.