How much rates vary
Facilitymedian $170 · 10th to 90th $56 to $2,754Professionalmedian $85 · 10th to 90th $60 to $141
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 $77.62 Median $1,348.96 Typical High $6,606.93 | Facility | None | $77.62 | $1,348.96 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $100.00 | Professional | None | $56.23 | $77.62 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $38.90 Typical High $47.86 | Professional | 52 · Reduced service | $28.18 | $38.90 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $15.85 Typical High $19.05 | Professional | 53 · Discontinued | $11.22 | $15.85 | $19.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $58.88 Typical High $72.44 | Professional | 54 · Surgery only | $41.69 | $58.88 | $72.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $11.75 Typical High $14.45 | Professional | 55 · Aftercare only | $8.32 | $11.75 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $7.76 Typical High $9.55 | Professional | 56 · Pre-op care only | $5.62 | $7.76 | $9.55 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $8,709.64 | Facility | None | $1,202.26 | $1,412.54 | $8,709.64 |
Capital Blue Cross Setting Professional Modifier None Typical Low $104.71 Median $141.25 Typical High $162.18 | Professional | None | $104.71 | $141.25 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $245.47 Typical High $549.54 | Facility | None | $50.12 | $245.47 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $87.10 Typical High $162.18 | Professional | None | $63.10 | $87.10 | $162.18 |
Emblem Health Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $154.88 | Professional | None | $147.91 | $147.91 | $154.88 |
Geisinger Setting Facility Modifier None Typical Low $45.71 Median $57.54 Typical High $100.00 | Facility | None | $45.71 | $57.54 | $100.00 |
Geisinger Setting Professional Modifier None Typical Low $69.18 Median $104.71 Typical High $162.18 | Professional | None | $69.18 | $104.71 | $162.18 |
Highmark BCBS Setting Facility Modifier 52 · Reduced service Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | 52 · Reduced service | $616.60 | $616.60 | $616.60 |
Martin's Point Setting Facility Modifier None Typical Low $95.50 Median $1,584.89 Typical High $6,165.95 | Facility | None | $95.50 | $1,584.89 | $6,165.95 |
Martin's Point Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $102.33 | Professional | None | $56.23 | $77.62 | $102.33 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $36.31 Typical High $47.86 | Professional | 52 · Reduced service | $28.18 | $36.31 | $47.86 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $14.45 Typical High $19.05 | Professional | 53 · Discontinued | $11.22 | $14.45 | $19.05 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $53.70 Typical High $72.44 | Professional | 54 · Surgery only | $41.69 | $53.70 | $72.44 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $10.72 Typical High $14.45 | Professional | 55 · Aftercare only | $8.32 | $10.72 | $14.45 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $7.24 Typical High $9.55 | Professional | 56 · Pre-op care only | $5.62 | $7.24 | $9.55 |
Oscar Health Setting Professional Modifier None Typical Low $102.33 Median $190.55 Typical High $204.17 | Professional | None | $102.33 | $190.55 | $204.17 |
UPMC Health Plan Setting Facility Modifier None Typical Low $75.86 Median $295.12 Typical High $691.83 | Facility | None | $75.86 | $295.12 | $691.83 |
UPMC Health Plan Setting Professional Modifier None Typical Low $61.66 Median $85.11 Typical High $100.00 | Professional | None | $61.66 | $85.11 | $100.00 |
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 $64.57 Median $85.11 Typical High $141.25 | Professional | None | $64.57 | $85.11 | $141.25 |
Where Pennsylvania sits
The same service costs 3.5 times more in Wisconsin 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· 44th of 51
$87.10
WI $269FL $75.86
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.