How much rates vary
Facilitymedian $1,445 · 10th to 90th $490 to $4,786Professionalmedian $589 · 10th to 90th $457 to $1,778
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 $588.84 Median $2,344.23 Typical High $8,317.64 | Facility | None | $588.84 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $524.81 Typical High $588.84 | Professional | None | $489.78 | $524.81 | $588.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $245.47 Median $263.03 Typical High $295.12 | Professional | 52 · Reduced service | $245.47 | $263.03 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $104.71 Typical High $117.49 | Professional | 53 · Discontinued | $100.00 | $104.71 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $398.11 Typical High $446.68 | Professional | 54 · Surgery only | $371.54 | $398.11 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $79.43 Typical High $89.13 | Professional | 55 · Aftercare only | $74.13 | $79.43 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $52.48 Typical High $58.88 | Professional | 56 · Pre-op care only | $48.98 | $52.48 | $58.88 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $6,025.60 Typical High $56,234.13 | Facility | None | $3,981.07 | $6,025.60 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $56,234.13 | Professional | None | $851.14 | $912.01 | $56,234.13 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,445.44 Typical High $2,691.53 | Facility | None | $380.19 | $1,445.44 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $562.34 Typical High $1,778.28 | Professional | None | $398.11 | $562.34 | $1,778.28 |
Emblem Health Setting Professional Modifier None Typical Low $676.08 Median $1,000.00 Typical High $1,000.00 | Professional | None | $676.08 | $1,000.00 | $1,000.00 |
Geisinger Setting Facility Modifier None Typical Low $1,380.38 Median $1,698.24 Typical High $3,019.95 | Facility | None | $1,380.38 | $1,698.24 | $3,019.95 |
Geisinger Setting Professional Modifier None Typical Low $524.81 Median $707.95 Typical High $2,754.23 | Professional | None | $524.81 | $707.95 | $2,754.23 |
Martin's Point Setting Facility Modifier None Typical Low $588.84 Median $2,344.23 Typical High $8,317.64 | Facility | None | $588.84 | $2,344.23 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $489.78 Median $524.81 Typical High $588.84 | Professional | None | $489.78 | $524.81 | $588.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $245.47 Median $263.03 Typical High $295.12 | Professional | 52 · Reduced service | $245.47 | $263.03 | $295.12 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $104.71 Typical High $117.49 | Professional | 53 · Discontinued | $100.00 | $104.71 | $117.49 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $398.11 Typical High $446.68 | Professional | 54 · Surgery only | $371.54 | $398.11 | $446.68 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $79.43 Typical High $89.13 | Professional | 55 · Aftercare only | $74.13 | $79.43 | $89.13 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $52.48 Typical High $58.88 | Professional | 56 · Pre-op care only | $48.98 | $52.48 | $58.88 |
Oscar Health Setting Professional Modifier None Typical Low $645.65 Median $660.69 Typical High $2,754.23 | Professional | None | $645.65 | $660.69 | $2,754.23 |
UPMC Health Plan Setting Facility Modifier None Typical Low $562.34 Median $1,318.26 Typical High $1,949.84 | Facility | None | $562.34 | $1,318.26 | $1,949.84 |
UPMC Health Plan Setting Professional Modifier None Typical Low $562.34 Median $1,000.00 Typical High $1,548.82 | Professional | None | $562.34 | $1,000.00 | $1,548.82 |
United Setting Facility Modifier None Typical Low $416.87 Median $724.44 Typical High $3,890.45 | Facility | None | $416.87 | $724.44 | $3,890.45 |
United Setting Professional Modifier None Typical Low $501.19 Median $776.25 Typical High $1,819.70 | Professional | None | $501.19 | $776.25 | $1,819.70 |
Where Pennsylvania sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 44th of 51
$589
AK $2,344KY $525
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.