How much rates vary
Facilitymedian $302 · 10th to 90th $87 to $3,020Professionalmedian $132 · 10th to 90th $69 to $204
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 $181.97 Median $2,344.23 Typical High $8,317.64 | Facility | None | $181.97 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $114.82 Typical High $181.97 | Professional | None | $63.10 | $114.82 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $46.77 Typical High $91.20 | Professional | 52 · Reduced service | $31.62 | $46.77 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $19.05 Typical High $36.31 | Professional | 53 · Discontinued | $12.88 | $19.05 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $70.79 Typical High $138.04 | Professional | 54 · Surgery only | $47.86 | $70.79 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $14.13 Typical High $27.54 | Professional | 55 · Aftercare only | $9.55 | $14.13 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $9.55 Typical High $18.20 | Professional | 56 · Pre-op care only | $6.31 | $9.55 | $18.20 |
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 $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $302.00 Typical High $562.34 | Facility | None | $120.23 | $302.00 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $125.89 Typical High $223.87 | Professional | None | $70.79 | $125.89 | $223.87 |
Emblem Health Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $281.84 | Professional | None | $275.42 | $275.42 | $281.84 |
Geisinger Setting Facility Modifier None Typical Low $114.82 Median $141.25 Typical High $251.19 | Facility | None | $114.82 | $141.25 | $251.19 |
Geisinger Setting Professional Modifier None Typical Low $77.62 Median $165.96 Typical High $275.42 | Professional | None | $77.62 | $165.96 | $275.42 |
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 $63.10 Median $114.82 Typical High $181.97 | Professional | None | $63.10 | $114.82 | $181.97 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $46.77 Typical High $91.20 | Professional | 52 · Reduced service | $31.62 | $46.77 | $91.20 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $19.05 Typical High $36.31 | Professional | 53 · Discontinued | $12.88 | $19.05 | $36.31 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $70.79 Typical High $138.04 | Professional | 54 · Surgery only | $47.86 | $70.79 | $138.04 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $14.13 Typical High $27.54 | Professional | 55 · Aftercare only | $9.55 | $14.13 | $27.54 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $9.55 Typical High $18.20 | Professional | 56 · Pre-op care only | $6.31 | $9.55 | $18.20 |
Oscar Health Setting Professional Modifier None Typical Low $190.55 Median $263.03 Typical High $288.40 | Professional | None | $190.55 | $263.03 | $288.40 |
UPMC Health Plan Setting Facility Modifier None Typical Low $87.10 Median $295.12 Typical High $691.83 | Facility | None | $87.10 | $295.12 | $691.83 |
UPMC Health Plan Setting Professional Modifier None Typical Low $69.18 Median $134.90 Typical High $158.49 | Professional | None | $69.18 | $134.90 | $158.49 |
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 $72.44 Median $134.90 Typical High $223.87 | Professional | None | $72.44 | $134.90 | $223.87 |
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· 38th of 51
$141
WI $380KY $105
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.