How much rates vary
Facilitymedian $407 · 10th to 90th $110 to $3,090Professionalmedian $162 · 10th to 90th $126 to $282
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 $162.18 Median $2,344.23 Typical High $8,317.64 | Facility | None | $162.18 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $154.88 Typical High $173.78 | Professional | None | $123.03 | $154.88 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $77.62 Typical High $81.28 | Professional | 52 · Reduced service | $61.66 | $77.62 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $30.90 Typical High $32.36 | Professional | 53 · Discontinued | $24.55 | $30.90 | $32.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $117.49 Typical High $120.23 | Professional | 54 · Surgery only | $93.33 | $117.49 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $23.44 Typical High $23.99 | Professional | 55 · Aftercare only | $18.62 | $23.44 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $15.49 Typical High $16.22 | Professional | 56 · Pre-op care only | $12.30 | $15.49 | $16.22 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,511.89 Median $2,570.40 Typical High $56,234.13 | Facility | None | $2,511.89 | $2,570.40 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $251.19 Typical High $549.54 | Facility | None | $97.72 | $251.19 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $169.82 Typical High $288.40 | Professional | None | $141.25 | $169.82 | $288.40 |
Emblem Health Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $316.23 | Professional | None | $295.12 | $295.12 | $316.23 |
Geisinger Setting Facility Modifier None Typical Low $87.10 Median $109.65 Typical High $194.98 | Facility | None | $87.10 | $109.65 | $194.98 |
Geisinger Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $346.74 | Professional | None | $190.55 | $223.87 | $346.74 |
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 $123.03 Median $154.88 Typical High $162.18 | Professional | None | $123.03 | $154.88 | $162.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $77.62 Typical High $79.43 | Professional | 52 · Reduced service | $61.66 | $77.62 | $79.43 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $30.90 Typical High $32.36 | Professional | 53 · Discontinued | $24.55 | $30.90 | $32.36 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $117.49 Typical High $120.23 | Professional | 54 · Surgery only | $93.33 | $117.49 | $120.23 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $23.44 Typical High $23.99 | Professional | 55 · Aftercare only | $18.62 | $23.44 | $23.99 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $15.49 Typical High $16.22 | Professional | 56 · Pre-op care only | $12.30 | $15.49 | $16.22 |
Oscar Health Setting Professional Modifier None Typical Low $204.17 Median $213.80 Typical High $389.05 | Professional | None | $204.17 | $213.80 | $389.05 |
UPMC Health Plan Setting Facility Modifier None Typical Low $158.49 Median $338.84 Typical High $776.25 | Facility | None | $158.49 | $338.84 | $776.25 |
UPMC Health Plan Setting Professional Modifier None Typical Low $138.04 Median $165.96 Typical High $190.55 | Professional | None | $138.04 | $165.96 | $190.55 |
United Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $2,290.87 | Facility | None | $199.53 | $436.52 | $2,290.87 |
United Setting Professional Modifier None Typical Low $141.25 Median $181.97 Typical High $316.23 | Professional | None | $141.25 | $181.97 | $316.23 |
Where Pennsylvania sits
The same service costs 3.4 times more in Alaska than in Pennsylvania. 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· 51st of 51
$170
AK $575PA $170
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.