How much rates vary
Facilitymedian $1,905 · 10th to 90th $339 to $6,166Professionalmedian $309 · 10th to 90th $151 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 $371.54 Median $2,344.23 Typical High $8,317.64 | Facility | None | $371.54 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $295.12 Typical High $371.54 | Professional | None | $147.91 | $295.12 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $125.89 Typical High $186.21 | Professional | 52 · Reduced service | $74.13 | $125.89 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $51.29 Typical High $74.13 | Professional | 53 · Discontinued | $29.51 | $51.29 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $190.55 Typical High $281.84 | Professional | 54 · Surgery only | $109.65 | $190.55 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $38.02 Typical High $56.23 | Professional | 55 · Aftercare only | $21.88 | $38.02 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $25.70 Typical High $37.15 | Professional | 56 · Pre-op care only | $14.79 | $25.70 | $37.15 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $56,234.13 Median $56,234.13 Typical High $56,234.13 | Professional | None | $56,234.13 | $56,234.13 | $56,234.13 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $323.59 Typical High $549.54 | Professional | None | $154.88 | $323.59 | $549.54 |
Emblem Health Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $660.69 | Professional | None | $512.86 | $602.56 | $660.69 |
Geisinger Setting Professional Modifier None Typical Low $194.98 Median $407.38 Typical High $758.58 | Professional | None | $194.98 | $407.38 | $758.58 |
Highmark BCBS Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
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 $144.54 Median $295.12 Typical High $371.54 | Professional | None | $144.54 | $295.12 | $371.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $125.89 Typical High $186.21 | Professional | 52 · Reduced service | $69.18 | $125.89 | $186.21 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $51.29 Typical High $74.13 | Professional | 53 · Discontinued | $27.54 | $51.29 | $74.13 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $190.55 Typical High $281.84 | Professional | 54 · Surgery only | $104.71 | $190.55 | $281.84 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $38.02 Typical High $56.23 | Professional | 55 · Aftercare only | $20.89 | $38.02 | $56.23 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $25.70 Typical High $37.15 | Professional | 56 · Pre-op care only | $13.80 | $25.70 | $37.15 |
Oscar Health Setting Professional Modifier None Typical Low $162.18 Median $354.81 Typical High $758.58 | Professional | None | $162.18 | $354.81 | $758.58 |
UPMC Health Plan Setting Facility Modifier None Typical Low $239.88 Median $1,862.09 Typical High $3,388.44 | Facility | None | $239.88 | $1,862.09 | $3,388.44 |
UPMC Health Plan Setting Professional Modifier None Typical Low $154.88 Median $331.13 Typical High $446.68 | Professional | None | $154.88 | $331.13 | $446.68 |
United Setting Facility Modifier None Typical Low $169.82 Median $524.81 Typical High $3,890.45 | Facility | None | $169.82 | $524.81 | $3,890.45 |
United Setting Professional Modifier None Typical Low $173.78 Median $331.13 Typical High $562.34 | Professional | None | $173.78 | $331.13 | $562.34 |
Where Pennsylvania sits
The same service costs 3.3 times more in Alaska than in Virginia. 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· 31st of 51
$324
AK $676VA $204
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.