How much rates vary
Facilitymedian $347 · 10th to 90th $71 to $2,951Professionalmedian $155 · 10th to 90th $123 to $263
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 $144.54 Median $239.88 Typical High $8,317.64 | Facility | None | $144.54 | $239.88 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $134.90 Typical High $190.55 | Professional | None | $112.20 | $134.90 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $63.10 Typical High $74.13 | Professional | 52 · Reduced service | $53.70 | $63.10 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $25.70 Typical High $29.51 | Professional | 53 · Discontinued | $21.38 | $25.70 | $29.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $95.50 Typical High $112.20 | Professional | 54 · Surgery only | $79.43 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $19.05 Typical High $22.39 | Professional | 55 · Aftercare only | $15.85 | $19.05 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $12.88 Typical High $14.79 | Professional | 56 · Pre-op care only | $10.72 | $12.88 | $14.79 |
AmeriHealth Setting Facility Modifier None Typical Low $1,258.93 Median $1,698.24 Typical High $2,454.71 | Facility | None | $1,258.93 | $1,698.24 | $2,454.71 |
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 $162.18 Median $223.87 Typical High $295.12 | Professional | None | $162.18 | $223.87 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $81.28 Typical High $134.90 | Facility | None | $50.12 | $81.28 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $177.83 Typical High $263.03 | Professional | None | $131.83 | $177.83 | $263.03 |
Emblem Health Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $288.40 | Professional | None | $257.04 | $257.04 | $288.40 |
Geisinger Setting Facility Modifier None Typical Low $64.57 Median $81.28 Typical High $141.25 | Facility | None | $64.57 | $81.28 | $141.25 |
Geisinger Setting Professional Modifier None Typical Low $141.25 Median $181.97 Typical High $323.59 | Professional | None | $141.25 | $181.97 | $323.59 |
Highmark BCBS Setting Facility Modifier None Typical Low $912.01 Median $2,290.87 Typical High $4,466.84 | Facility | None | $912.01 | $2,290.87 | $4,466.84 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1,096.48 Median $1,698.24 Typical High $2,884.03 | Facility | None | $1,096.48 | $1,698.24 | $2,884.03 |
Martin's Point Setting Facility Modifier None Typical Low $147.91 Median $537.03 Typical High $8,317.64 | Facility | None | $147.91 | $537.03 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $112.20 Median $134.90 Typical High $204.17 | Professional | None | $112.20 | $134.90 | $204.17 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $63.10 Typical High $74.13 | Professional | 52 · Reduced service | $53.70 | $63.10 | $74.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $25.70 Typical High $29.51 | Professional | 53 · Discontinued | $21.38 | $25.70 | $29.51 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $95.50 Typical High $112.20 | Professional | 54 · Surgery only | $79.43 | $95.50 | $112.20 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $19.05 Typical High $22.39 | Professional | 55 · Aftercare only | $15.85 | $19.05 | $22.39 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $12.88 Typical High $14.79 | Professional | 56 · Pre-op care only | $10.72 | $12.88 | $14.79 |
Oscar Health Setting Professional Modifier None Typical Low $169.82 Median $177.83 Typical High $323.59 | Professional | None | $169.82 | $177.83 | $323.59 |
UPMC Health Plan Setting Facility Modifier None Typical Low $138.04 Median $501.19 Typical High $1,148.15 | Facility | None | $138.04 | $501.19 | $1,148.15 |
UPMC Health Plan Setting Professional Modifier None Typical Low $128.82 Median $147.91 Typical High $162.18 | Professional | None | $128.82 | $147.91 | $162.18 |
United Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $2,290.87 | Facility | None | $199.53 | $436.52 | $2,290.87 |
United Setting Professional Modifier None Typical Low $131.83 Median $158.49 Typical High $281.84 | Professional | None | $131.83 | $158.49 | $281.84 |
Where Pennsylvania sits
The same service costs 2.9 times more in Alaska 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· 45th of 51
$158
AK $417KY $145
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.