How much rates vary
Facilitymedian $589 · 10th to 90th $126 to $4,074Professionalmedian $170 · 10th to 90th $112 to $282
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 $162.18 Median $1,995.26 Typical High $7,943.28 | Facility | None | $162.18 | $1,995.26 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $181.97 | Professional | None | $100.00 | $151.36 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $75.86 Typical High $91.20 | Professional | 52 · Reduced service | $50.12 | $75.86 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $30.20 Typical High $36.31 | Professional | 53 · Discontinued | $19.95 | $30.20 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $112.20 Typical High $138.04 | Professional | 54 · Surgery only | $75.86 | $112.20 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $22.39 Typical High $27.54 | Professional | 55 · Aftercare only | $15.14 | $22.39 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $15.14 Typical High $18.20 | Professional | 56 · Pre-op care only | $10.00 | $15.14 | $18.20 |
Ambetter Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $354.81 | Professional | None | $181.97 | $181.97 | $354.81 |
AmeriHealth Setting Facility Modifier None Typical Low $1,584.89 Median $3,630.78 Typical High $5,248.07 | Facility | None | $1,584.89 | $3,630.78 | $5,248.07 |
AmeriHealth Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $338.84 | Professional | None | $186.21 | $186.21 | $338.84 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,511.89 Median $2,570.40 Typical High $56,234.13 | Facility | None | $2,511.89 | $2,570.40 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $173.78 Median $181.97 Typical High $316.23 | Professional | None | $173.78 | $181.97 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $186.21 Typical High $676.08 | Facility | None | $79.43 | $186.21 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $169.82 Typical High $281.84 | Professional | None | $112.20 | $169.82 | $281.84 |
Emblem Health Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $331.13 | Professional | None | $245.47 | $331.13 | $331.13 |
Geisinger Setting Facility Modifier None Typical Low $114.82 Median $144.54 Typical High $251.19 | Facility | None | $114.82 | $144.54 | $251.19 |
Geisinger Setting Professional Modifier None Typical Low $114.82 Median $181.97 Typical High $316.23 | Professional | None | $114.82 | $181.97 | $316.23 |
Highmark BCBS Setting Facility Modifier None Typical Low $446.68 Median $1,737.80 Typical High $3,311.31 | Facility | None | $446.68 | $1,737.80 | $3,311.31 |
Highmark BCBS Setting Professional Modifier None Typical Low $104.71 Median $173.78 Typical High $316.23 | Professional | None | $104.71 | $173.78 | $316.23 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1,000.00 Median $3,548.13 Typical High $5,011.87 | Facility | None | $1,000.00 | $3,548.13 | $5,011.87 |
Independence Blue Cross Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $338.84 | Professional | None | $186.21 | $186.21 | $338.84 |
Martin's Point Setting Facility Modifier None Typical Low $181.97 Median $1,819.70 Typical High $6,606.93 | Facility | None | $181.97 | $1,819.70 | $6,606.93 |
Martin's Point Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $181.97 | Professional | None | $100.00 | $151.36 | $181.97 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $74.13 Typical High $91.20 | Professional | 52 · Reduced service | $50.12 | $74.13 | $91.20 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $29.51 Typical High $36.31 | Professional | 53 · Discontinued | $19.95 | $29.51 | $36.31 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $112.20 Typical High $138.04 | Professional | 54 · Surgery only | $75.86 | $112.20 | $138.04 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $22.39 Typical High $27.54 | Professional | 55 · Aftercare only | $15.14 | $22.39 | $27.54 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $14.79 Typical High $18.20 | Professional | 56 · Pre-op care only | $10.00 | $14.79 | $18.20 |
Oscar Health Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $1,513.56 | Professional | None | $173.78 | $173.78 | $1,513.56 |
UPMC Health Plan Setting Facility Modifier None Typical Low $112.20 Median $1,148.15 Typical High $2,238.72 | Facility | None | $112.20 | $1,148.15 | $2,238.72 |
UPMC Health Plan Setting Professional Modifier None Typical Low $112.20 Median $169.82 Typical High $169.82 | Professional | None | $112.20 | $169.82 | $169.82 |
United Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $2,089.30 | Facility | None | $199.53 | $436.52 | $2,089.30 |
United Setting Professional Modifier None Typical Low $117.49 Median $177.83 Typical High $257.04 | Professional | None | $117.49 | $177.83 | $257.04 |
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· 39th of 51
$170
AK $468VA $141
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.