How much rates vary
Facilitymedian $389 · 10th to 90th $66 to $3,090Professionalmedian $91 · 10th to 90th $58 to $155
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 $93.33 Median $2,137.96 Typical High $8,317.64 | Facility | None | $93.33 | $2,137.96 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $83.18 Typical High $123.03 | Professional | None | $57.54 | $83.18 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $41.69 Typical High $46.77 | Professional | 52 · Reduced service | $26.92 | $41.69 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $16.60 Typical High $18.62 | Professional | 53 · Discontinued | $10.72 | $16.60 | $18.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $39.81 Median $63.10 Typical High $70.79 | Professional | 54 · Surgery only | $39.81 | $63.10 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $12.59 Typical High $14.13 | Professional | 55 · Aftercare only | $8.13 | $12.59 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $8.32 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.37 | $8.32 | $9.33 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $56,234.13 | Facility | None | $2,630.27 | $3,019.95 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $173.78 | Professional | None | $165.96 | $165.96 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $245.47 Typical High $549.54 | Facility | None | $63.10 | $245.47 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $95.50 Typical High $169.82 | Professional | None | $63.10 | $95.50 | $169.82 |
Emblem Health Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $181.97 | Professional | None | $169.82 | $169.82 | $181.97 |
Geisinger Setting Facility Modifier None Typical Low $57.54 Median $72.44 Typical High $125.89 | Facility | None | $57.54 | $72.44 | $125.89 |
Geisinger Setting Professional Modifier None Typical Low $72.44 Median $112.20 Typical High $177.83 | Professional | None | $72.44 | $112.20 | $177.83 |
Highmark BCBS Setting Facility Modifier None Typical Low $512.86 Median $2,238.72 Typical High $3,162.28 | Facility | None | $512.86 | $2,238.72 | $3,162.28 |
Martin's Point Setting Facility Modifier None Typical Low $199.53 Median $2,137.96 Typical High $7,244.36 | Facility | None | $199.53 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $57.54 Median $83.18 Typical High $123.03 | Professional | None | $57.54 | $83.18 | $123.03 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $41.69 Typical High $46.77 | Professional | 52 · Reduced service | $26.30 | $41.69 | $46.77 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $16.60 Typical High $18.62 | Professional | 53 · Discontinued | $10.47 | $16.60 | $18.62 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $39.81 Median $63.10 Typical High $70.79 | Professional | 54 · Surgery only | $39.81 | $63.10 | $70.79 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $12.59 Typical High $14.13 | Professional | 55 · Aftercare only | $7.94 | $12.59 | $14.13 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $8.32 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.25 | $8.32 | $9.33 |
Oscar Health Setting Professional Modifier None Typical Low $102.33 Median $107.15 Typical High $181.97 | Professional | None | $102.33 | $107.15 | $181.97 |
UPMC Health Plan Setting Facility Modifier None Typical Low $66.07 Median $186.21 Typical High $436.52 | Facility | None | $66.07 | $186.21 | $436.52 |
UPMC Health Plan Setting Professional Modifier None Typical Low $64.57 Median $97.72 Typical High $104.71 | Professional | None | $64.57 | $97.72 | $104.71 |
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 $63.10 Median $95.50 Typical High $162.18 | Professional | None | $63.10 | $95.50 | $162.18 |
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· 48th of 51
$93.33
WI $282KY $77.62
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.