How much rates vary
Facilitymedian $245 · 10th to 90th $74 to $3,802Professionalmedian $115 · 10th to 90th $79 to $200
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 $114.82 Median $2,818.38 Typical High $8,511.38 | Facility | None | $114.82 | $2,818.38 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $112.20 Typical High $165.96 | Professional | None | $79.43 | $112.20 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $51.29 Typical High $57.54 | Professional | 52 · Reduced service | $38.02 | $51.29 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $20.42 Typical High $22.91 | Professional | 53 · Discontinued | $15.14 | $20.42 | $22.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $75.86 Typical High $85.11 | Professional | 54 · Surgery only | $56.23 | $75.86 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $15.14 Typical High $17.38 | Professional | 55 · Aftercare only | $11.22 | $15.14 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $10.23 Typical High $11.48 | Professional | 56 · Pre-op care only | $7.59 | $10.23 | $11.48 |
Ambetter Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
AmeriHealth Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $165.96 | Professional | None | $131.83 | $131.83 | $165.96 |
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 $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $245.47 Typical High $549.54 | Facility | None | $74.13 | $245.47 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $114.82 Typical High $208.93 | Professional | None | $87.10 | $114.82 | $208.93 |
Emblem Health Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $213.80 | Professional | None | $204.17 | $204.17 | $213.80 |
Geisinger Setting Facility Modifier None Typical Low $66.07 Median $83.18 Typical High $144.54 | Facility | None | $66.07 | $83.18 | $144.54 |
Geisinger Setting Professional Modifier None Typical Low $97.72 Median $134.90 Typical High $223.87 | Professional | None | $97.72 | $134.90 | $223.87 |
Highmark BCBS Setting Facility Modifier None Typical Low $218.78 Median $524.81 Typical High $1,023.29 | Facility | None | $218.78 | $524.81 | $1,023.29 |
Independence Blue Cross Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $165.96 | Professional | None | $131.83 | $131.83 | $165.96 |
Martin's Point Setting Facility Modifier None Typical Low $147.91 Median $2,570.40 Typical High $8,317.64 | Facility | None | $147.91 | $2,570.40 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $79.43 Median $109.65 Typical High $173.78 | Professional | None | $79.43 | $109.65 | $173.78 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $51.29 Typical High $57.54 | Professional | 52 · Reduced service | $36.31 | $51.29 | $57.54 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $20.42 Typical High $22.91 | Professional | 53 · Discontinued | $14.45 | $20.42 | $22.91 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $75.86 Typical High $85.11 | Professional | 54 · Surgery only | $54.95 | $75.86 | $85.11 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $15.14 Typical High $17.38 | Professional | 55 · Aftercare only | $10.96 | $15.14 | $17.38 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $10.23 Typical High $11.48 | Professional | 56 · Pre-op care only | $7.24 | $10.23 | $11.48 |
Oscar Health Setting Professional Modifier None Typical Low $107.15 Median $117.49 Typical High $223.87 | Professional | None | $107.15 | $117.49 | $223.87 |
UPMC Health Plan Setting Facility Modifier None Typical Low $109.65 Median $186.21 Typical High $436.52 | Facility | None | $109.65 | $186.21 | $436.52 |
UPMC Health Plan Setting Professional Modifier None Typical Low $89.13 Median $120.23 Typical High $131.83 | Professional | None | $89.13 | $120.23 | $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 $123.03 Typical High $208.93 | Professional | None | $87.10 | $123.03 | $208.93 |
Where Pennsylvania sits
The same service costs 3.7 times more in Alaska 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· 47th of 51
$115
AK $372KY $100
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.