How much rates vary
Facilitymedian $95 · 10th to 90th $40 to $2,239Professionalmedian $68 · 10th to 90th $40 to $112
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 $39.81 Median $1,584.89 Typical High $8,511.38 | Facility | None | $39.81 | $1,584.89 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $60.26 Typical High $91.20 | Professional | None | $39.81 | $60.26 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $29.51 Typical High $33.88 | Professional | 52 · Reduced service | $19.05 | $29.51 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $12.02 Typical High $13.49 | Professional | 53 · Discontinued | $7.59 | $12.02 | $13.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $28.18 Median $44.67 Typical High $50.12 | Professional | 54 · Surgery only | $28.18 | $44.67 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $8.91 Typical High $10.00 | Professional | 55 · Aftercare only | $5.62 | $8.91 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $6.03 Typical High $6.76 | Professional | 56 · Pre-op care only | $3.80 | $6.03 | $6.76 |
Ambetter Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $131.83 | Professional | None | $120.23 | $120.23 | $131.83 |
AmeriHealth Setting Professional Modifier None Typical Low $26.92 Median $38.02 Typical High $43.65 | Professional | None | $26.92 | $38.02 | $43.65 |
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 $173.78 | Professional | None | $75.86 | $75.86 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $53.70 Typical High $100.00 | Facility | None | $37.15 | $53.70 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $74.13 Typical High $120.23 | Professional | None | $45.71 | $74.13 | $120.23 |
Emblem Health Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $120.23 | Professional | None | $114.82 | $114.82 | $120.23 |
Geisinger Setting Facility Modifier None Typical Low $35.48 Median $44.67 Typical High $77.62 | Facility | None | $35.48 | $44.67 | $77.62 |
Geisinger Setting Professional Modifier None Typical Low $53.70 Median $83.18 Typical High $128.82 | Professional | None | $53.70 | $83.18 | $128.82 |
Highmark BCBS Setting Facility Modifier None Typical Low $128.82 Median $691.83 Typical High $1,023.29 | Facility | None | $128.82 | $691.83 | $1,023.29 |
Independence Blue Cross Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | None | $38.02 | $38.02 | $44.67 |
Martin's Point Setting Facility Modifier None Typical Low $66.07 Median $1,584.89 Typical High $8,511.38 | Facility | None | $66.07 | $1,584.89 | $8,511.38 |
Martin's Point Setting Professional Modifier None Typical Low $39.81 Median $60.26 Typical High $95.50 | Professional | None | $39.81 | $60.26 | $95.50 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $29.51 Typical High $33.88 | Professional | 52 · Reduced service | $18.20 | $29.51 | $33.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $12.02 Typical High $13.49 | Professional | 53 · Discontinued | $7.24 | $12.02 | $13.49 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $27.54 Median $44.67 Typical High $50.12 | Professional | 54 · Surgery only | $27.54 | $44.67 | $50.12 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $8.91 Typical High $10.00 | Professional | 55 · Aftercare only | $5.50 | $8.91 | $10.00 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $6.03 Typical High $6.76 | Professional | 56 · Pre-op care only | $3.63 | $6.03 | $6.76 |
Oscar Health Setting Professional Modifier None Typical Low $87.10 Median $91.20 Typical High $158.49 | Professional | None | $87.10 | $91.20 | $158.49 |
UPMC Health Plan Setting Facility Modifier None Typical Low $64.57 Median $177.83 Typical High $407.38 | Facility | None | $64.57 | $177.83 | $407.38 |
UPMC Health Plan Setting Professional Modifier None Typical Low $45.71 Median $70.79 Typical High $74.13 | Professional | None | $45.71 | $70.79 | $74.13 |
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 $44.67 Median $69.18 Typical High $114.82 | Professional | None | $44.67 | $69.18 | $114.82 |
Where Pennsylvania sits
The same service costs 3.1 times more in Wisconsin than in Washington, DC. 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· 46th of 51
$67.61
WI $200DC $64.57
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.