How much rates vary
Facilitymedian $1,660 · 10th to 90th $251 to $5,754Professionalmedian $251 · 10th to 90th $117 to $468
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 $269.15 Median $1,995.26 Typical High $7,244.36 | Facility | None | $269.15 | $1,995.26 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $218.78 Typical High $269.15 | Professional | None | $109.65 | $218.78 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $97.72 Typical High $134.90 | Professional | 52 · Reduced service | $54.95 | $97.72 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $38.90 Typical High $53.70 | Professional | 53 · Discontinued | $21.88 | $38.90 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $144.54 Typical High $204.17 | Professional | 54 · Surgery only | $83.18 | $144.54 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $28.84 Typical High $40.74 | Professional | 55 · Aftercare only | $16.60 | $28.84 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $19.50 Typical High $26.92 | Professional | 56 · Pre-op care only | $10.96 | $19.50 | $26.92 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $56,234.13 | Facility | None | $2,630.27 | $2,630.27 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $245.47 Median $389.05 Typical High $575.44 | Professional | None | $245.47 | $389.05 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $239.88 Typical High $407.38 | Professional | None | $114.82 | $239.88 | $407.38 |
Emblem Health Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $436.52 | Professional | None | $338.84 | $398.11 | $436.52 |
Geisinger Setting Professional Modifier None Typical Low $147.91 Median $257.04 Typical High $467.74 | Professional | None | $147.91 | $257.04 | $467.74 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,698.24 Typical High $2,187.76 | Facility | None | $1,288.25 | $1,698.24 | $2,187.76 |
Highmark BCBS Setting Professional Modifier None Typical Low $125.89 Median $134.90 Typical High $154.88 | Professional | None | $125.89 | $134.90 | $154.88 |
Martin's Point Setting Facility Modifier None Typical Low $269.15 Median $1,819.70 Typical High $6,606.93 | Facility | None | $269.15 | $1,819.70 | $6,606.93 |
Martin's Point Setting Professional Modifier None Typical Low $102.33 Median $213.80 Typical High $269.15 | Professional | None | $102.33 | $213.80 | $269.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $97.72 Typical High $134.90 | Professional | 52 · Reduced service | $52.48 | $97.72 | $134.90 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $38.90 Typical High $53.70 | Professional | 53 · Discontinued | $20.89 | $38.90 | $53.70 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $144.54 Typical High $204.17 | Professional | 54 · Surgery only | $79.43 | $144.54 | $204.17 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $28.84 Typical High $40.74 | Professional | 55 · Aftercare only | $15.85 | $28.84 | $40.74 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $19.50 Typical High $26.92 | Professional | 56 · Pre-op care only | $10.47 | $19.50 | $26.92 |
Oscar Health Setting Professional Modifier None Typical Low $117.49 Median $257.04 Typical High $537.03 | Professional | None | $117.49 | $257.04 | $537.03 |
UPMC Health Plan Setting Facility Modifier None Typical Low $117.49 Median $891.25 Typical High $1,659.59 | Facility | None | $117.49 | $891.25 | $1,659.59 |
UPMC Health Plan Setting Professional Modifier None Typical Low $117.49 Median $245.47 Typical High $263.03 | Professional | None | $117.49 | $245.47 | $263.03 |
United Setting Facility Modifier None Typical Low $537.03 Median $1,659.59 Typical High $3,890.45 | Facility | None | $537.03 | $1,659.59 | $3,890.45 |
United Setting Professional Modifier None Typical Low $125.89 Median $245.47 Typical High $407.38 | Professional | None | $125.89 | $245.47 | $407.38 |
Where Pennsylvania sits
The same service costs 3.4 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· 26th of 51
$251
AK $525VA $155
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.