How much rates vary
Facilitymedian $1,230 · 10th to 90th $302 to $6,166Professionalmedian $288 · 10th to 90th $138 to $447
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 $338.84 Median $2,344.23 Typical High $8,317.64 | Facility | None | $338.84 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $269.15 Typical High $338.84 | Professional | None | $138.04 | $269.15 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $120.23 Typical High $169.82 | Professional | 52 · Reduced service | $67.61 | $120.23 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $47.86 Typical High $67.61 | Professional | 53 · Discontinued | $27.54 | $47.86 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $177.83 Typical High $251.19 | Professional | 54 · Surgery only | $102.33 | $177.83 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $35.48 Typical High $50.12 | Professional | 55 · Aftercare only | $20.42 | $35.48 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $23.99 Typical High $33.88 | Professional | 56 · Pre-op care only | $13.80 | $23.99 | $33.88 |
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 $144.54 Median $295.12 Typical High $501.19 | Professional | None | $144.54 | $295.12 | $501.19 |
Emblem Health Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $602.56 | Professional | None | $467.74 | $549.54 | $602.56 |
Geisinger Setting Professional Modifier None Typical Low $186.21 Median $354.81 Typical High $676.08 | Professional | None | $186.21 | $354.81 | $676.08 |
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 $134.90 Median $269.15 Typical High $338.84 | Professional | None | $134.90 | $269.15 | $338.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $120.23 Typical High $169.82 | Professional | 52 · Reduced service | $64.57 | $120.23 | $169.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $47.86 Typical High $67.61 | Professional | 53 · Discontinued | $25.70 | $47.86 | $67.61 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $177.83 Typical High $251.19 | Professional | 54 · Surgery only | $95.50 | $177.83 | $251.19 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $35.48 Typical High $50.12 | Professional | 55 · Aftercare only | $19.05 | $35.48 | $50.12 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $23.99 Typical High $33.88 | Professional | 56 · Pre-op care only | $12.88 | $23.99 | $33.88 |
Oscar Health Setting Professional Modifier None Typical Low $151.36 Median $338.84 Typical High $691.83 | Professional | None | $151.36 | $338.84 | $691.83 |
UPMC Health Plan Setting Facility Modifier None Typical Low $208.93 Median $436.52 Typical High $691.83 | Facility | None | $208.93 | $436.52 | $691.83 |
UPMC Health Plan Setting Professional Modifier None Typical Low $141.25 Median $309.03 Typical High $436.52 | Professional | None | $141.25 | $309.03 | $436.52 |
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 $165.96 Median $309.03 Typical High $524.81 | Professional | None | $165.96 | $309.03 | $524.81 |
Where Pennsylvania sits
The same service costs 3.5 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· 32nd of 51
$295
AK $661VA $186
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.