How much rates vary
Facilitymedian $1,288 · 10th to 90th $331 to $6,166Professionalmedian $347 · 10th to 90th $245 to $575
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 $346.74 Median $2,818.38 Typical High $8,511.38 | Facility | None | $346.74 | $2,818.38 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $316.23 Typical High $416.87 | Professional | None | $223.87 | $316.23 | $416.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $158.49 Typical High $173.78 | Professional | 52 · Reduced service | $112.20 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $63.10 Typical High $69.18 | Professional | 53 · Discontinued | $45.71 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $234.42 Typical High $263.03 | Professional | 54 · Surgery only | $169.82 | $234.42 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $46.77 Typical High $52.48 | Professional | 55 · Aftercare only | $33.88 | $46.77 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $31.62 Typical High $34.67 | Professional | 56 · Pre-op care only | $22.39 | $31.62 | $34.67 |
AmeriHealth Setting Facility Modifier None Typical Low $562.34 Median $707.95 Typical High $8,317.64 | Facility | None | $562.34 | $707.95 | $8,317.64 |
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 $446.68 Median $446.68 Typical High $56,234.13 | Professional | None | $446.68 | $446.68 | $56,234.13 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $2,137.96 Typical High $3,715.35 | Facility | None | $478.63 | $2,137.96 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $398.11 Typical High $676.08 | Professional | None | $269.15 | $398.11 | $676.08 |
Emblem Health Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $676.08 | Professional | None | $645.65 | $645.65 | $676.08 |
Geisinger Setting Facility Modifier None Typical Low $2,238.72 Median $2,754.23 Typical High $4,897.79 | Facility | None | $2,238.72 | $2,754.23 | $4,897.79 |
Geisinger Setting Professional Modifier None Typical Low $398.11 Median $478.63 Typical High $851.14 | Professional | None | $398.11 | $478.63 | $851.14 |
Highmark BCBS Setting Facility Modifier None Typical Low $15,488.17 Median $16,595.87 Typical High $21,877.62 | Facility | None | $15,488.17 | $16,595.87 | $21,877.62 |
Highmark BCBS Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $309.03 | Professional | None | $281.84 | $281.84 | $309.03 |
Independence Blue Cross Setting Facility Modifier None Typical Low $524.81 Median $724.44 Typical High $12,022.64 | Facility | None | $524.81 | $724.44 | $12,022.64 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $2,630.27 Typical High $8,511.38 | Facility | None | $537.03 | $2,630.27 | $8,511.38 |
Martin's Point Setting Professional Modifier None Typical Low $223.87 Median $316.23 Typical High $380.19 | Professional | None | $223.87 | $316.23 | $380.19 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $158.49 Typical High $173.78 | Professional | 52 · Reduced service | $112.20 | $158.49 | $173.78 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $63.10 Typical High $69.18 | Professional | 53 · Discontinued | $45.71 | $63.10 | $69.18 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $234.42 Typical High $263.03 | Professional | 54 · Surgery only | $169.82 | $234.42 | $263.03 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $46.77 Typical High $52.48 | Professional | 55 · Aftercare only | $33.88 | $46.77 | $52.48 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $31.62 Typical High $34.67 | Professional | 56 · Pre-op care only | $22.39 | $31.62 | $34.67 |
Oscar Health Setting Professional Modifier None Typical Low $436.52 Median $457.09 Typical High $851.14 | Professional | None | $436.52 | $457.09 | $851.14 |
UPMC Health Plan Setting Facility Modifier None Typical Low $275.42 Median $1,288.25 Typical High $3,548.13 | Facility | None | $275.42 | $1,288.25 | $3,548.13 |
UPMC Health Plan Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $389.05 | Professional | None | $275.42 | $380.19 | $389.05 |
United Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $3,890.45 | Facility | None | $199.53 | $436.52 | $3,890.45 |
United Setting Professional Modifier None Typical Low $269.15 Median $389.05 Typical High $691.83 | Professional | None | $269.15 | $389.05 | $691.83 |
Where Pennsylvania sits
The same service costs 3.9 times more in Alaska than in New York. 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· 49th of 51
$372
AK $1,380NY $355
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.