How much rates vary
Facilitymedian $380 · 10th to 90th $100 to $3,020Professionalmedian $380 · 10th to 90th $288 to $708
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 $380.19 Median $2,137.96 Typical High $8,317.64 | Facility | None | $380.19 | $2,137.96 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $323.59 Typical High $446.68 | Professional | None | $263.03 | $323.59 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $162.18 Typical High $190.55 | Professional | 52 · Reduced service | $125.89 | $162.18 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $64.57 Typical High $75.86 | Professional | 53 · Discontinued | $50.12 | $64.57 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $245.47 Typical High $288.40 | Professional | 54 · Surgery only | $190.55 | $245.47 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $48.98 Typical High $57.54 | Professional | 55 · Aftercare only | $38.02 | $48.98 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $32.36 Typical High $38.02 | Professional | 56 · Pre-op care only | $25.12 | $32.36 | $38.02 |
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 $389.05 Median $660.69 Typical High $776.25 | Professional | None | $389.05 | $660.69 | $776.25 |
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 $302.00 Median $416.87 Typical High $660.69 | Professional | None | $302.00 | $416.87 | $660.69 |
Emblem Health Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $724.44 | Professional | None | $645.65 | $645.65 | $724.44 |
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 $316.23 Median $457.09 Typical High $741.31 | Professional | None | $316.23 | $457.09 | $741.31 |
Highmark BCBS Setting Facility Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
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 $251.19 Median $323.59 Typical High $407.38 | Professional | None | $251.19 | $323.59 | $407.38 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $162.18 Typical High $190.55 | Professional | 52 · Reduced service | $125.89 | $162.18 | $190.55 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $64.57 Typical High $75.86 | Professional | 53 · Discontinued | $50.12 | $64.57 | $75.86 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $245.47 Typical High $288.40 | Professional | 54 · Surgery only | $190.55 | $245.47 | $288.40 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $48.98 Typical High $57.54 | Professional | 55 · Aftercare only | $38.02 | $48.98 | $57.54 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $32.36 Typical High $38.02 | Professional | 56 · Pre-op care only | $25.12 | $32.36 | $38.02 |
Oscar Health Setting Professional Modifier None Typical Low $457.09 Median $489.78 Typical High $812.83 | Professional | None | $457.09 | $489.78 | $812.83 |
UPMC Health Plan Setting Facility Modifier None Typical Low $302.00 Median $537.03 Typical High $1,445.44 | Facility | None | $302.00 | $537.03 | $1,445.44 |
UPMC Health Plan Setting Professional Modifier None Typical Low $302.00 Median $371.54 Typical High $416.87 | Professional | None | $302.00 | $371.54 | $416.87 |
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 $309.03 Median $407.38 Typical High $676.08 | Professional | None | $309.03 | $407.38 | $676.08 |
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· 43rd of 51
$380
AK $977KY $339
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.