How much rates vary
Facilitymedian $1,349 · 10th to 90th $138 to $5,495Professionalmedian $245 · 10th to 90th $115 to $457
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 $117.49 Median $1,348.96 Typical High $6,165.95 | Facility | None | $117.49 | $1,348.96 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $218.78 Typical High $269.15 | Professional | None | $107.15 | $218.78 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $95.50 Typical High $131.83 | Professional | 52 · Reduced service | $53.70 | $95.50 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $38.02 Typical High $53.70 | Professional | 53 · Discontinued | $21.38 | $38.02 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $144.54 Typical High $199.53 | Professional | 54 · Surgery only | $81.28 | $144.54 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $28.84 Typical High $39.81 | Professional | 55 · Aftercare only | $16.22 | $28.84 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $19.05 Typical High $26.92 | Professional | 56 · Pre-op care only | $10.72 | $19.05 | $26.92 |
Ambetter Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
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 $239.88 Median $380.19 Typical High $562.34 | Professional | None | $239.88 | $380.19 | $562.34 |
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 $426.58 | Professional | None | $338.84 | $398.11 | $426.58 |
Geisinger Setting Professional Modifier None Typical Low $144.54 Median $257.04 Typical High $457.09 | Professional | None | $144.54 | $257.04 | $457.09 |
Highmark BCBS Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $1,862.09 | Facility | None | $512.86 | $1,479.11 | $1,862.09 |
Highmark BCBS Setting Professional Modifier None Typical Low $128.82 Median $141.25 Typical High $151.36 | Professional | None | $128.82 | $141.25 | $151.36 |
Martin's Point Setting Facility Modifier None Typical Low $117.49 Median $1,288.25 Typical High $6,025.60 | Facility | None | $117.49 | $1,288.25 | $6,025.60 |
Martin's Point Setting Professional Modifier None Typical Low $100.00 Median $213.80 Typical High $269.15 | Professional | None | $100.00 | $213.80 | $269.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $95.50 Typical High $131.83 | Professional | 52 · Reduced service | $51.29 | $95.50 | $131.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $38.02 Typical High $53.70 | Professional | 53 · Discontinued | $20.89 | $38.02 | $53.70 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $144.54 Typical High $199.53 | Professional | 54 · Surgery only | $77.62 | $144.54 | $199.53 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $28.84 Typical High $39.81 | Professional | 55 · Aftercare only | $15.49 | $28.84 | $39.81 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $19.05 Typical High $26.92 | Professional | 56 · Pre-op care only | $10.47 | $19.05 | $26.92 |
Oscar Health Setting Professional Modifier None Typical Low $114.82 Median $257.04 Typical High $501.19 | Professional | None | $114.82 | $257.04 | $501.19 |
UPMC Health Plan Setting Facility Modifier None Typical Low $114.82 Median $912.01 Typical High $1,659.59 | Facility | None | $114.82 | $912.01 | $1,659.59 |
UPMC Health Plan Setting Professional Modifier None Typical Low $114.82 Median $245.47 Typical High $257.04 | Professional | None | $114.82 | $245.47 | $257.04 |
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· 25th of 51
$251
AK $513VA $151
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.