How much rates vary
Facilitymedian $229 · 10th to 90th $76 to $3,802Professionalmedian $204 · 10th to 90th $174 to $347
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 $190.55 Median $3,801.89 Typical High $8,511.38 | Facility | None | $190.55 | $3,801.89 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $190.55 Typical High $204.17 | Professional | None | $165.96 | $190.55 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $95.50 Typical High $97.72 | Professional | 52 · Reduced service | $81.28 | $95.50 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $38.02 Typical High $39.81 | Professional | 53 · Discontinued | $33.11 | $38.02 | $39.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $141.25 Typical High $147.91 | Professional | 54 · Surgery only | $123.03 | $141.25 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $28.84 Typical High $29.51 | Professional | 55 · Aftercare only | $24.55 | $28.84 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $19.05 Typical High $19.95 | Professional | 56 · Pre-op care only | $16.60 | $19.05 | $19.95 |
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 $316.23 Median $316.23 Typical High $56,234.13 | Professional | None | $316.23 | $316.23 | $56,234.13 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $186.21 Typical High $354.81 | Facility | None | $50.12 | $186.21 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $257.04 Typical High $380.19 | Professional | None | $190.55 | $257.04 | $380.19 |
Emblem Health Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $323.59 | Professional | None | $281.84 | $281.84 | $323.59 |
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 $181.97 Median $251.19 Typical High $436.52 | Professional | None | $181.97 | $251.19 | $436.52 |
Highmark BCBS Setting Facility Modifier None Typical Low $0.50 Median $0.50 Typical High $0.50 | Facility | None | $0.50 | $0.50 | $0.50 |
Martin's Point Setting Facility Modifier None Typical Low $190.55 Median $3,630.78 Typical High $8,709.64 | Facility | None | $190.55 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $165.96 Median $190.55 Typical High $204.17 | Professional | None | $165.96 | $190.55 | $204.17 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $81.28 | $95.50 | $95.50 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $33.11 | $38.02 | $38.02 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $141.25 Typical High $141.25 | Professional | 54 · Surgery only | $123.03 | $141.25 | $141.25 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $24.55 | $28.84 | $28.84 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $19.05 Typical High $19.05 | Professional | 56 · Pre-op care only | $16.60 | $19.05 | $19.05 |
Oscar Health Setting Professional Modifier None Typical Low $229.09 Median $275.42 Typical High $416.87 | Professional | None | $229.09 | $275.42 | $416.87 |
UPMC Health Plan Setting Facility Modifier None Typical Low $194.98 Median $2,137.96 Typical High $4,168.69 | Facility | None | $194.98 | $2,137.96 | $4,168.69 |
UPMC Health Plan Setting Professional Modifier None Typical Low $194.98 Median $257.04 Typical High $257.04 | Professional | None | $194.98 | $257.04 | $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 $190.55 Median $223.87 Typical High $407.38 | Professional | None | $190.55 | $223.87 | $407.38 |
Where Pennsylvania sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 46th of 51
$209
AK $631UT $195
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.