How much rates vary
Facilitymedian $269 · 10th to 90th $79 to $2,818Professionalmedian $138 · 10th to 90th $89 to $251
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 $134.90 Median $1,819.70 Typical High $7,244.36 | Facility | None | $134.90 | $1,819.70 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $199.53 | Professional | None | $89.13 | $128.82 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $61.66 Typical High $69.18 | Professional | 52 · Reduced service | $41.69 | $61.66 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $24.55 Typical High $27.54 | Professional | 53 · Discontinued | $16.60 | $24.55 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $91.20 Typical High $102.33 | Professional | 54 · Surgery only | $63.10 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $18.20 Typical High $20.42 | Professional | 55 · Aftercare only | $12.59 | $18.20 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $12.30 Typical High $13.80 | Professional | 56 · Pre-op care only | $8.32 | $12.30 | $13.80 |
Ambetter Setting Professional Modifier None Typical Low $173.78 Median $229.09 Typical High $229.09 | Professional | None | $173.78 | $229.09 | $229.09 |
AmeriHealth Setting Professional Modifier None Typical Low $79.43 Median $85.11 Typical High $158.49 | Professional | None | $79.43 | $85.11 | $158.49 |
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 $147.91 Median $245.47 Typical High $269.15 | Professional | None | $147.91 | $245.47 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $245.47 Typical High $549.54 | Facility | None | $85.11 | $245.47 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $141.25 Typical High $251.19 | Professional | None | $100.00 | $141.25 | $251.19 |
Emblem Health Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $257.04 | Professional | None | $245.47 | $245.47 | $257.04 |
Geisinger Setting Facility Modifier None Typical Low $77.62 Median $97.72 Typical High $169.82 | Facility | None | $77.62 | $97.72 | $169.82 |
Geisinger Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $269.15 | Professional | None | $114.82 | $165.96 | $269.15 |
Highmark BCBS Setting Facility Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,445.44 | Facility | None | $831.76 | $1,047.13 | $1,445.44 |
Independence Blue Cross Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $158.49 | Professional | None | $79.43 | $79.43 | $158.49 |
Martin's Point Setting Facility Modifier None Typical Low $138.04 Median $1,584.89 Typical High $6,165.95 | Facility | None | $138.04 | $1,584.89 | $6,165.95 |
Martin's Point Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $204.17 | Professional | None | $89.13 | $128.82 | $204.17 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $61.66 Typical High $69.18 | Professional | 52 · Reduced service | $40.74 | $61.66 | $69.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $24.55 Typical High $27.54 | Professional | 53 · Discontinued | $16.22 | $24.55 | $27.54 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $91.20 Typical High $102.33 | Professional | 54 · Surgery only | $60.26 | $91.20 | $102.33 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $18.20 Typical High $20.42 | Professional | 55 · Aftercare only | $12.30 | $18.20 | $20.42 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $12.30 Typical High $13.80 | Professional | 56 · Pre-op care only | $8.13 | $12.30 | $13.80 |
Oscar Health Setting Professional Modifier None Typical Low $173.78 Median $177.83 Typical High $281.84 | Professional | None | $173.78 | $177.83 | $281.84 |
UPMC Health Plan Setting Facility Modifier None Typical Low $100.00 Median $275.42 Typical High $758.58 | Facility | None | $100.00 | $275.42 | $758.58 |
UPMC Health Plan Setting Professional Modifier None Typical Low $100.00 Median $144.54 Typical High $173.78 | Professional | None | $100.00 | $144.54 | $173.78 |
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 $97.72 Median $144.54 Typical High $245.47 | Professional | None | $97.72 | $144.54 | $245.47 |
Where Pennsylvania sits
The same service costs 3.2 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· 43rd of 51
$141
WI $417KY $129
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.