How much rates vary
Facilitymedian $676 · 10th to 90th $240 to $6,310Professionalmedian $282 · 10th to 90th $240 to $479
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 $263.03 Median $4,897.79 Typical High $8,511.38 | Facility | None | $263.03 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $263.03 Typical High $288.40 | Professional | None | $229.09 | $263.03 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $131.83 Typical High $138.04 | Professional | 52 · Reduced service | $114.82 | $131.83 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $52.48 Typical High $54.95 | Professional | 53 · Discontinued | $45.71 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $199.53 Typical High $204.17 | Professional | 54 · Surgery only | $169.82 | $199.53 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $39.81 Typical High $40.74 | Professional | 55 · Aftercare only | $33.88 | $39.81 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $26.30 Typical High $27.54 | Professional | 56 · Pre-op care only | $22.91 | $26.30 | $27.54 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $28,183.83 Typical High $56,234.13 | Facility | None | $3,981.07 | $28,183.83 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $676.08 Typical High $2,290.87 | Facility | None | $120.23 | $676.08 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $354.81 Typical High $512.86 | Professional | None | $263.03 | $354.81 | $512.86 |
Emblem Health Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $446.68 | Professional | None | $380.19 | $380.19 | $446.68 |
Geisinger Setting Professional Modifier None Typical Low $251.19 Median $346.74 Typical High $602.56 | Professional | None | $251.19 | $346.74 | $602.56 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $3,801.89 Typical High $8,709.64 | Facility | None | $537.03 | $3,801.89 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $229.09 Median $263.03 Typical High $288.40 | Professional | None | $229.09 | $263.03 | $288.40 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $114.82 | $131.83 | $131.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $45.71 | $52.48 | $52.48 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $199.53 Typical High $199.53 | Professional | 54 · Surgery only | $169.82 | $199.53 | $199.53 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $39.81 Typical High $39.81 | Professional | 55 · Aftercare only | $33.88 | $39.81 | $39.81 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $26.30 Typical High $26.30 | Professional | 56 · Pre-op care only | $22.91 | $26.30 | $26.30 |
Oscar Health Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $575.44 | Professional | None | $316.23 | $371.54 | $575.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $275.42 Median $398.11 Typical High $398.11 | Facility | None | $275.42 | $398.11 | $398.11 |
UPMC Health Plan Setting Professional Modifier None Typical Low $275.42 Median $398.11 Typical High $398.11 | Professional | None | $275.42 | $398.11 | $398.11 |
United Setting Facility Modifier None Typical Low $199.53 Median $562.34 Typical High $4,265.80 | Facility | None | $199.53 | $562.34 | $4,265.80 |
United Setting Professional Modifier None Typical Low $263.03 Median $309.03 Typical High $575.44 | Professional | None | $263.03 | $309.03 | $575.44 |
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
$309
AK $871TX $275
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.