How much rates vary
Facilitymedian $269 · 10th to 90th $78 to $2,818Professionalmedian $120 · 10th to 90th $79 to $224
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 $120.23 Median $1,995.26 Typical High $7,943.28 | Facility | None | $120.23 | $1,995.26 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $109.65 Typical High $162.18 | Professional | None | $79.43 | $109.65 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $52.48 Typical High $60.26 | Professional | 52 · Reduced service | $37.15 | $52.48 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $21.38 Typical High $23.99 | Professional | 53 · Discontinued | $14.79 | $21.38 | $23.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $79.43 Typical High $89.13 | Professional | 54 · Surgery only | $54.95 | $79.43 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $15.85 Typical High $17.78 | Professional | 55 · Aftercare only | $10.96 | $15.85 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $10.72 Typical High $12.02 | Professional | 56 · Pre-op care only | $7.41 | $10.72 | $12.02 |
Ambetter Setting Professional Modifier None Typical Low $51.29 Median $158.49 Typical High $158.49 | Professional | None | $51.29 | $158.49 | $158.49 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,454.71 Median $2,570.40 Typical High $8,709.64 | Facility | None | $2,454.71 | $2,570.40 | $8,709.64 |
Capital Blue Cross Setting Professional Modifier None Typical Low $131.83 Median $213.80 Typical High $275.42 | Professional | None | $131.83 | $213.80 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $245.47 Typical High $549.54 | Facility | None | $81.28 | $245.47 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $125.89 Typical High $218.78 | Professional | None | $85.11 | $125.89 | $218.78 |
Emblem Health Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $239.88 | Professional | None | $223.87 | $223.87 | $239.88 |
Geisinger Setting Facility Modifier None Typical Low $74.13 Median $91.20 Typical High $162.18 | Facility | None | $74.13 | $91.20 | $162.18 |
Geisinger Setting Professional Modifier None Typical Low $97.72 Median $147.91 Typical High $234.42 | Professional | None | $97.72 | $147.91 | $234.42 |
Highmark BCBS Setting Facility Modifier None Typical Low $0.50 Median $512.86 Typical High $1,737.80 | Facility | None | $0.50 | $512.86 | $1,737.80 |
Martin's Point Setting Facility Modifier None Typical Low $120.23 Median $1,995.26 Typical High $6,606.93 | Facility | None | $120.23 | $1,995.26 | $6,606.93 |
Martin's Point Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $162.18 | Professional | None | $79.43 | $107.15 | $162.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $52.48 Typical High $60.26 | Professional | 52 · Reduced service | $35.48 | $52.48 | $60.26 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $21.38 Typical High $23.99 | Professional | 53 · Discontinued | $14.45 | $21.38 | $23.99 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $53.70 Median $79.43 Typical High $89.13 | Professional | 54 · Surgery only | $53.70 | $79.43 | $89.13 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $15.85 Typical High $17.78 | Professional | 55 · Aftercare only | $10.72 | $15.85 | $17.78 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $10.72 Typical High $12.02 | Professional | 56 · Pre-op care only | $7.08 | $10.72 | $12.02 |
Oscar Health Setting Professional Modifier None Typical Low $151.36 Median $154.88 Typical High $239.88 | Professional | None | $151.36 | $154.88 | $239.88 |
UPMC Health Plan Setting Facility Modifier None Typical Low $87.10 Median $562.34 Typical High $1,548.82 | Facility | None | $87.10 | $562.34 | $1,548.82 |
UPMC Health Plan Setting Professional Modifier None Typical Low $87.10 Median $125.89 Typical High $131.83 | Professional | None | $87.10 | $125.89 | $131.83 |
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 $87.10 Median $125.89 Typical High $208.93 | Professional | None | $87.10 | $125.89 | $208.93 |
Where Pennsylvania sits
The same service costs 3.3 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· 46th of 51
$123
WI $372KY $112
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.