How much rates vary
Facilitymedian $195 · 10th to 90th $54 to $4,266Professionalmedian $66 · 10th to 90th $39 to $102
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 $64.57 Median $3,630.78 Typical High $8,511.38 | Facility | None | $64.57 | $3,630.78 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $64.57 Typical High $81.28 | Professional | None | $35.48 | $64.57 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $26.30 Typical High $40.74 | Professional | 52 · Reduced service | $17.78 | $26.30 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $10.47 Typical High $16.22 | Professional | 53 · Discontinued | $7.08 | $10.47 | $16.22 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $26.30 Median $39.81 Typical High $60.26 | Professional | 54 · Surgery only | $26.30 | $39.81 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $7.94 Typical High $12.02 | Professional | 55 · Aftercare only | $5.37 | $7.94 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $5.25 Typical High $8.13 | Professional | 56 · Pre-op care only | $3.55 | $5.25 | $8.13 |
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 $75.86 Median $75.86 Typical High $95.50 | Professional | None | $75.86 | $75.86 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $120.23 | Facility | None | $50.12 | $66.07 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $70.79 Typical High $131.83 | Professional | None | $39.81 | $70.79 | $131.83 |
Emblem Health Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $131.83 | Professional | None | $125.89 | $125.89 | $131.83 |
Geisinger Setting Professional Modifier None Typical Low $42.66 Median $81.28 Typical High $134.90 | Professional | None | $42.66 | $81.28 | $134.90 |
Highmark BCBS Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Martin's Point Setting Facility Modifier None Typical Low $81.28 Median $3,630.78 Typical High $8,709.64 | Facility | None | $81.28 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $35.48 Median $64.57 Typical High $81.28 | Professional | None | $35.48 | $64.57 | $81.28 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $26.30 Typical High $40.74 | Professional | 52 · Reduced service | $17.78 | $26.30 | $40.74 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $10.47 Typical High $16.22 | Professional | 53 · Discontinued | $7.08 | $10.47 | $16.22 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $26.30 Median $39.81 Typical High $60.26 | Professional | 54 · Surgery only | $26.30 | $39.81 | $60.26 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $7.94 Typical High $12.02 | Professional | 55 · Aftercare only | $5.37 | $7.94 | $12.02 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $5.25 Typical High $8.13 | Professional | 56 · Pre-op care only | $3.55 | $5.25 | $8.13 |
Oscar Health Setting Professional Modifier None Typical Low $89.13 Median $162.18 Typical High $173.78 | Professional | None | $89.13 | $162.18 | $173.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $53.70 Median $295.12 Typical High $660.69 | Facility | None | $53.70 | $295.12 | $660.69 |
UPMC Health Plan Setting Professional Modifier None Typical Low $39.81 Median $70.79 Typical High $83.18 | Professional | None | $39.81 | $70.79 | $83.18 |
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 $40.74 Median $69.18 Typical High $114.82 | Professional | None | $40.74 | $69.18 | $114.82 |
Where Pennsylvania sits
The same service costs 3.4 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· 48th of 51
$70.79
WI $209KY $61.66
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.