How much rates vary
Facilitymedian $234 · 10th to 90th $68 to $3,890Professionalmedian $112 · 10th to 90th $95 to $195
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 $107.15 Median $3,801.89 Typical High $8,511.38 | Facility | None | $107.15 | $3,801.89 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $107.15 Typical High $114.82 | Professional | None | $91.20 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $45.71 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $18.20 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $79.43 Typical High $79.43 | Professional | 54 · Surgery only | $69.18 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $15.85 Typical High $15.85 | Professional | 55 · Aftercare only | $13.80 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $9.12 | $10.72 | $10.72 |
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 $112.20 Median $114.82 Typical High $218.78 | Professional | None | $112.20 | $114.82 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $186.21 Typical High $416.87 | Facility | None | $50.12 | $186.21 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $134.90 Typical High $204.17 | Professional | None | $107.15 | $134.90 | $204.17 |
Emblem Health Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $177.83 | Professional | None | $154.88 | $154.88 | $177.83 |
Geisinger Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $316.23 | Professional | None | $102.33 | $138.04 | $316.23 |
Martin's Point Setting Facility Modifier None Typical Low $263.03 Median $3,801.89 Typical High $8,709.64 | Facility | None | $263.03 | $3,801.89 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $91.20 Median $107.15 Typical High $114.82 | Professional | None | $91.20 | $107.15 | $114.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $45.71 | $53.70 | $53.70 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $18.20 | $21.38 | $21.38 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $79.43 Typical High $79.43 | Professional | 54 · Surgery only | $69.18 | $79.43 | $79.43 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $15.85 Typical High $15.85 | Professional | 55 · Aftercare only | $13.80 | $15.85 | $15.85 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $9.12 | $10.72 | $10.72 |
Oscar Health Setting Professional Modifier None Typical Low $125.89 Median $158.49 Typical High $234.42 | Professional | None | $125.89 | $158.49 | $234.42 |
UPMC Health Plan Setting Facility Modifier None Typical Low $109.65 Median $281.84 Typical High $467.74 | Facility | None | $109.65 | $281.84 | $467.74 |
UPMC Health Plan Setting Professional Modifier None Typical Low $109.65 Median $123.03 Typical High $123.03 | Professional | None | $109.65 | $123.03 | $123.03 |
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 $107.15 Median $125.89 Typical High $229.09 | Professional | None | $107.15 | $125.89 | $229.09 |
Where Pennsylvania sits
The same service costs 3.2 times more in Alaska than in Texas. 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
$115
AK $355TX $110
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.