How much rates vary
Facilitymedian $151 · 10th to 90th $56 to $2,692Professionalmedian $93 · 10th to 90th $56 to $162
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 $67.61 Median $660.69 Typical High $6,165.95 | Facility | None | $67.61 | $660.69 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $91.20 Typical High $138.04 | Professional | None | $56.23 | $91.20 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $41.69 Typical High $46.77 | Professional | 52 · Reduced service | $25.70 | $41.69 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $16.60 Typical High $18.62 | Professional | 53 · Discontinued | $10.47 | $16.60 | $18.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $61.66 Typical High $69.18 | Professional | 54 · Surgery only | $38.90 | $61.66 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $12.30 Typical High $13.80 | Professional | 55 · Aftercare only | $7.76 | $12.30 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $8.32 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.13 | $8.32 | $9.33 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $169.82 | Professional | None | $114.82 | $134.90 | $169.82 |
AmeriHealth Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $8,709.64 | Facility | None | $1,698.24 | $1,698.24 | $8,709.64 |
AmeriHealth Setting Professional Modifier None Typical Low $53.70 Median $58.88 Typical High $123.03 | Professional | None | $53.70 | $58.88 | $123.03 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $8,709.64 | Facility | None | $1,202.26 | $1,412.54 | $8,709.64 |
Capital Blue Cross Setting Professional Modifier None Typical Low $229.09 Median $269.15 Typical High $269.15 | Professional | None | $229.09 | $269.15 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $67.61 Typical High $112.20 | Facility | None | $50.12 | $67.61 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $107.15 Typical High $186.21 | Professional | None | $63.10 | $107.15 | $186.21 |
Emblem Health Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $169.82 | Professional | None | $158.49 | $158.49 | $169.82 |
Geisinger Setting Facility Modifier None Typical Low $50.12 Median $63.10 Typical High $109.65 | Facility | None | $50.12 | $63.10 | $109.65 |
Geisinger Setting Professional Modifier None Typical Low $93.33 Median $120.23 Typical High $208.93 | Professional | None | $93.33 | $120.23 | $208.93 |
Highmark BCBS Setting Facility Modifier None Typical Low $426.58 Median $758.58 Typical High $1,122.02 | Facility | None | $426.58 | $758.58 | $1,122.02 |
Independence Blue Cross Setting Facility Modifier None Typical Low $302.00 Median $707.95 Typical High $4,897.79 | Facility | None | $302.00 | $707.95 | $4,897.79 |
Independence Blue Cross Setting Professional Modifier None Typical Low $53.70 Median $57.54 Typical High $123.03 | Professional | None | $53.70 | $57.54 | $123.03 |
Martin's Point Setting Facility Modifier None Typical Low $74.13 Median $812.83 Typical High $5,888.44 | Facility | None | $74.13 | $812.83 | $5,888.44 |
Martin's Point Setting Professional Modifier None Typical Low $56.23 Median $91.20 Typical High $144.54 | Professional | None | $56.23 | $91.20 | $144.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $41.69 Typical High $46.77 | Professional | 52 · Reduced service | $25.70 | $41.69 | $46.77 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $16.60 Typical High $18.62 | Professional | 53 · Discontinued | $10.23 | $16.60 | $18.62 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $38.02 Median $61.66 Typical High $69.18 | Professional | 54 · Surgery only | $38.02 | $61.66 | $69.18 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $12.30 Typical High $13.80 | Professional | 55 · Aftercare only | $7.76 | $12.30 | $13.80 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $8.32 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.13 | $8.32 | $9.33 |
Oscar Health Setting Professional Modifier None Typical Low $95.50 Median $102.33 Typical High $223.87 | Professional | None | $95.50 | $102.33 | $223.87 |
UPMC Health Plan Setting Facility Modifier None Typical Low $100.00 Median $501.19 Typical High $1,148.15 | Facility | None | $100.00 | $501.19 | $1,148.15 |
UPMC Health Plan Setting Professional Modifier None Typical Low $61.66 Median $102.33 Typical High $125.89 | Professional | None | $61.66 | $102.33 | $125.89 |
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 $64.57 Median $102.33 Typical High $162.18 | Professional | None | $64.57 | $102.33 | $162.18 |
Where Pennsylvania sits
The same service costs 3.0 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· 47th of 51
$97.72
WI $282KY $93.33
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.