How much rates vary
Facilitymedian $5,370 · 10th to 90th $1,148 to $8,511
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier Global Typical Low $1,412.54 Median $5,370.32 Typical High $8,511.38 | Facility | Global | $1,412.54 | $5,370.32 | $8,511.38 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $20,417.38 Median $21,379.62 Typical High $57,543.99 | Facility | Global | $20,417.38 | $21,379.62 | $57,543.99 |
Martin's Point Setting Facility Modifier Global Typical Low $1,023.29 Median $4,786.30 Typical High $8,511.38 | Facility | Global | $1,023.29 | $4,786.30 | $8,511.38 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | Global | $3,630.78 | $3,630.78 | $3,630.78 |
UPMC Health Plan Setting Facility Modifier 62 · Two surgeons Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | 62 · Two surgeons | $3,630.78 | $3,630.78 | $3,630.78 |
United Setting Facility Modifier Global Typical Low $676.08 Median $2,754.23 Typical High $7,079.46 | Facility | Global | $676.08 | $2,754.23 | $7,079.46 |
Where Pennsylvania sits
The same service costs 20.9 times more in Maine than in Wyoming. Every bar is a state, most expensive first. Pick one to see its carriers and full range.
Pennsylvania $5,370 · 26th of 50
ME $26,915WY $1,288
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.