How much rates vary
Facilitymedian $355 · 10th to 90th $100 to $4,074Professionalmedian $234 · 10th to 90th $186 to $417
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 $234.42 Median $2,137.96 Typical High $8,317.64 | Facility | None | $234.42 | $2,137.96 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $208.93 Typical High $245.47 | Professional | None | $173.78 | $208.93 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $104.71 Typical High $117.49 | Professional | 52 · Reduced service | $87.10 | $104.71 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $41.69 Typical High $46.77 | Professional | 53 · Discontinued | $35.48 | $41.69 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $154.88 Typical High $173.78 | Professional | 54 · Surgery only | $131.83 | $154.88 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $30.90 Typical High $34.67 | Professional | 55 · Aftercare only | $26.30 | $30.90 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $20.89 Typical High $23.44 | Professional | 56 · Pre-op care only | $17.38 | $20.89 | $23.44 |
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 $338.84 Median $338.84 Typical High $56,234.13 | Professional | None | $338.84 | $338.84 | $56,234.13 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $323.59 Typical High $562.34 | Facility | None | $177.83 | $323.59 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $251.19 Typical High $436.52 | Professional | None | $208.93 | $251.19 | $436.52 |
Emblem Health Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $436.52 | Professional | None | $407.38 | $407.38 | $436.52 |
Geisinger Setting Facility Modifier None Typical Low $162.18 Median $204.17 Typical High $354.81 | Facility | None | $162.18 | $204.17 | $354.81 |
Geisinger Setting Professional Modifier None Typical Low $234.42 Median $302.00 Typical High $478.63 | Professional | None | $234.42 | $302.00 | $478.63 |
Martin's Point Setting Facility Modifier None Typical Low $478.63 Median $2,137.96 Typical High $7,244.36 | Facility | None | $478.63 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $169.82 Median $208.93 Typical High $239.88 | Professional | None | $169.82 | $208.93 | $239.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $104.71 Typical High $114.82 | Professional | 52 · Reduced service | $85.11 | $104.71 | $114.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $41.69 Typical High $46.77 | Professional | 53 · Discontinued | $33.88 | $41.69 | $46.77 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $154.88 Typical High $173.78 | Professional | 54 · Surgery only | $128.82 | $154.88 | $173.78 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $30.90 Typical High $34.67 | Professional | 55 · Aftercare only | $25.70 | $30.90 | $34.67 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $20.89 Typical High $23.44 | Professional | 56 · Pre-op care only | $16.98 | $20.89 | $23.44 |
Oscar Health Setting Professional Modifier None Typical Low $295.12 Median $309.03 Typical High $524.81 | Professional | None | $295.12 | $309.03 | $524.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $223.87 Median $2,398.83 Typical High $5,623.41 | Facility | None | $223.87 | $2,398.83 | $5,623.41 |
UPMC Health Plan Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $257.04 | Professional | None | $208.93 | $245.47 | $257.04 |
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 $204.17 Median $269.15 Typical High $467.74 | Professional | None | $204.17 | $269.15 | $467.74 |
Where Pennsylvania sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 50th of 51
$240
AK $851MD $229
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.