How much rates vary
Facilitymedian $257 · 10th to 90th $56 to $1,698Professionalmedian $83 · 10th to 90th $51 to $135
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 $51.29 Median $3,630.78 Typical High $8,511.38 | Facility | None | $51.29 | $3,630.78 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $72.44 Typical High $97.72 | Professional | None | $51.29 | $72.44 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $36.31 Typical High $40.74 | Professional | 52 · Reduced service | $23.99 | $36.31 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $14.79 Typical High $16.60 | Professional | 53 · Discontinued | $9.55 | $14.79 | $16.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $35.48 Median $54.95 Typical High $61.66 | Professional | 54 · Surgery only | $35.48 | $54.95 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $10.96 Typical High $12.30 | Professional | 55 · Aftercare only | $7.08 | $10.96 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $7.24 Typical High $8.32 | Professional | 56 · Pre-op care only | $4.79 | $7.24 | $8.32 |
Ambetter Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
AmeriHealth Setting Facility Modifier None Typical Low $309.03 Median $707.95 Typical High $1,023.29 | Facility | None | $309.03 | $707.95 | $1,023.29 |
AmeriHealth Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $109.65 | Professional | None | $95.50 | $95.50 | $109.65 |
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 $89.13 Median $93.33 Typical High $158.49 | Professional | None | $89.13 | $93.33 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $245.47 Typical High $549.54 | Facility | None | $54.95 | $245.47 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $87.10 Typical High $147.91 | Professional | None | $56.23 | $87.10 | $147.91 |
Emblem Health Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $158.49 | Professional | None | $151.36 | $151.36 | $158.49 |
Geisinger Setting Facility Modifier None Typical Low $50.12 Median $61.66 Typical High $109.65 | Facility | None | $50.12 | $61.66 | $109.65 |
Geisinger Setting Professional Modifier None Typical Low $66.07 Median $104.71 Typical High $158.49 | Professional | None | $66.07 | $104.71 | $158.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $181.97 Median $524.81 Typical High $933.25 | Facility | None | $181.97 | $524.81 | $933.25 |
Independence Blue Cross Setting Facility Modifier None Typical Low $144.54 Median $660.69 Typical High $977.24 | Facility | None | $144.54 | $660.69 | $977.24 |
Independence Blue Cross Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $109.65 | Professional | None | $95.50 | $95.50 | $109.65 |
Martin's Point Setting Facility Modifier None Typical Low $83.18 Median $3,630.78 Typical High $8,709.64 | Facility | None | $83.18 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $51.29 Median $72.44 Typical High $97.72 | Professional | None | $51.29 | $72.44 | $97.72 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $36.31 Typical High $40.74 | Professional | 52 · Reduced service | $23.44 | $36.31 | $40.74 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $14.79 Typical High $16.60 | Professional | 53 · Discontinued | $9.33 | $14.79 | $16.60 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $34.67 Median $54.95 Typical High $61.66 | Professional | 54 · Surgery only | $34.67 | $54.95 | $61.66 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $10.96 Typical High $12.30 | Professional | 55 · Aftercare only | $6.92 | $10.96 | $12.30 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $7.24 Typical High $8.32 | Professional | 56 · Pre-op care only | $4.68 | $7.24 | $8.32 |
Oscar Health Setting Professional Modifier None Typical Low $95.50 Median $102.33 Typical High $181.97 | Professional | None | $95.50 | $102.33 | $181.97 |
UPMC Health Plan Setting Facility Modifier None Typical Low $61.66 Median $134.90 Typical High $309.03 | Facility | None | $61.66 | $134.90 | $309.03 |
UPMC Health Plan Setting Professional Modifier None Typical Low $56.23 Median $85.11 Typical High $89.13 | Professional | None | $56.23 | $85.11 | $89.13 |
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 $56.23 Median $89.13 Typical High $147.91 | Professional | None | $56.23 | $89.13 | $147.91 |
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· 47th of 51
$85.11
WI $240DC $77.62
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.