How much rates vary
Facilitymedian $676 · 10th to 90th $316 to $6,166Professionalmedian $501 · 10th to 90th $417 to $794
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 $457.09 Median $4,897.79 Typical High $8,511.38 | Facility | None | $457.09 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $457.09 Typical High $549.54 | Professional | None | $398.11 | $457.09 | $549.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $229.09 Typical High $245.47 | Professional | 52 · Reduced service | $199.53 | $229.09 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $91.20 Typical High $100.00 | Professional | 53 · Discontinued | $79.43 | $91.20 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $338.84 Typical High $371.54 | Professional | 54 · Surgery only | $295.12 | $338.84 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $69.18 Typical High $74.13 | Professional | 55 · Aftercare only | $58.88 | $69.18 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $45.71 Typical High $48.98 | Professional | 56 · Pre-op care only | $39.81 | $45.71 | $48.98 |
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 $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $645.65 Typical High $2,089.30 | Facility | None | $446.68 | $645.65 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $575.44 Typical High $891.25 | Professional | None | $457.09 | $575.44 | $891.25 |
Emblem Health Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $776.25 | Professional | None | $660.69 | $660.69 | $776.25 |
Geisinger Setting Professional Modifier None Typical Low $436.52 Median $588.84 Typical High $1,047.13 | Professional | None | $436.52 | $588.84 | $1,047.13 |
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 $398.11 Median $457.09 Typical High $549.54 | Professional | None | $398.11 | $457.09 | $549.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $229.09 Typical High $239.88 | Professional | 52 · Reduced service | $199.53 | $229.09 | $239.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $91.20 Typical High $95.50 | Professional | 53 · Discontinued | $79.43 | $91.20 | $95.50 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $338.84 Typical High $354.81 | Professional | 54 · Surgery only | $295.12 | $338.84 | $354.81 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $69.18 Typical High $70.79 | Professional | 55 · Aftercare only | $58.88 | $69.18 | $70.79 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $45.71 Typical High $47.86 | Professional | 56 · Pre-op care only | $39.81 | $45.71 | $47.86 |
Oscar Health Setting Professional Modifier None Typical Low $537.03 Median $616.60 Typical High $1,000.00 | Professional | None | $537.03 | $616.60 | $1,000.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $467.74 Median $616.60 Typical High $616.60 | Facility | None | $467.74 | $616.60 | $616.60 |
UPMC Health Plan Setting Professional Modifier None Typical Low $467.74 Median $616.60 Typical High $616.60 | Professional | None | $467.74 | $616.60 | $616.60 |
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 $457.09 Median $537.03 Typical High $977.24 | Professional | None | $457.09 | $537.03 | $977.24 |
Where Pennsylvania sits
The same service costs 3.4 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· 48th of 51
$501
AK $1,514UT $447
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.