How much rates vary
Facilitymedian $676 · 10th to 90th $200 to $6,166Professionalmedian $132 · 10th to 90th $110 to $251
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 $128.82 Median $4,897.79 Typical High $8,511.38 | Facility | None | $128.82 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $128.82 Typical High $128.82 | Professional | None | $107.15 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $53.70 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $21.38 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $95.50 Typical High $97.72 | Professional | 54 · Surgery only | $81.28 | $95.50 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $19.50 Typical High $19.50 | Professional | 55 · Aftercare only | $16.22 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $12.88 Typical High $12.88 | Professional | 56 · Pre-op care only | $10.72 | $12.88 | $12.88 |
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 $125.89 Median $199.53 Typical High $263.03 | Professional | None | $125.89 | $199.53 | $263.03 |
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 $120.23 Median $138.04 Typical High $257.04 | Professional | None | $120.23 | $138.04 | $257.04 |
Emblem Health Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $213.80 | Professional | None | $181.97 | $181.97 | $213.80 |
Geisinger Setting Professional Modifier None Typical Low $117.49 Median $154.88 Typical High $251.19 | Professional | None | $117.49 | $154.88 | $251.19 |
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 $107.15 Median $128.82 Typical High $128.82 | Professional | None | $107.15 | $128.82 | $128.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $53.70 | $64.57 | $64.57 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $21.38 | $25.70 | $25.70 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $95.50 Typical High $97.72 | Professional | 54 · Surgery only | $81.28 | $95.50 | $97.72 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $19.50 Typical High $19.50 | Professional | 55 · Aftercare only | $16.22 | $19.50 | $19.50 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $12.88 Typical High $12.88 | Professional | 56 · Pre-op care only | $10.72 | $12.88 | $12.88 |
Oscar Health Setting Professional Modifier None Typical Low $128.82 Median $134.90 Typical High $251.19 | Professional | None | $128.82 | $134.90 | $251.19 |
UPMC Health Plan Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $123.03 | Facility | None | $109.65 | $109.65 | $123.03 |
UPMC Health Plan Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $123.03 | Professional | None | $109.65 | $109.65 | $123.03 |
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 $123.03 Median $165.96 Typical High $257.04 | Professional | None | $123.03 | $165.96 | $257.04 |
Where Pennsylvania sits
The same service costs 3.9 times more in Alaska than in New York. 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· 45th of 51
$145
AK $513NY $132
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.