How much rates vary
Facilitymedian $407 · 10th to 90th $102 to $3,467Professionalmedian $155 · 10th to 90th $110 to $251
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 $2,137.96 Typical High $8,317.64 | Facility | None | $162.18 | $2,137.96 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $134.90 Typical High $162.18 | Professional | None | $97.72 | $134.90 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $67.61 Typical High $81.28 | Professional | 52 · Reduced service | $48.98 | $67.61 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $26.92 Typical High $32.36 | Professional | 53 · Discontinued | $19.95 | $26.92 | $32.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $74.13 Median $102.33 Typical High $123.03 | Professional | 54 · Surgery only | $74.13 | $102.33 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $20.42 Typical High $24.55 | Professional | 55 · Aftercare only | $14.79 | $20.42 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $13.49 Typical High $16.22 | Professional | 56 · Pre-op care only | $9.77 | $13.49 | $16.22 |
Ambetter Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
AmeriHealth Setting Professional Modifier None Typical Low $144.54 Median $165.96 Typical High $190.55 | Professional | None | $144.54 | $165.96 | $190.55 |
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 $158.49 Median $165.96 Typical High $302.00 | Professional | None | $158.49 | $165.96 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $151.36 Typical High $676.08 | Facility | None | $79.43 | $151.36 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $154.88 Typical High $251.19 | Professional | None | $112.20 | $154.88 | $251.19 |
Emblem Health Setting Professional Modifier None Typical Low $218.78 Median $295.12 Typical High $295.12 | Professional | None | $218.78 | $295.12 | $295.12 |
Geisinger Setting Facility Modifier None Typical Low $93.33 Median $117.49 Typical High $204.17 | Facility | None | $93.33 | $117.49 | $204.17 |
Geisinger Setting Professional Modifier None Typical Low $109.65 Median $169.82 Typical High $288.40 | Professional | None | $109.65 | $169.82 | $288.40 |
Highmark BCBS Setting Facility Modifier None Typical Low $169.82 Median $1,698.24 Typical High $3,630.78 | Facility | None | $169.82 | $1,698.24 | $3,630.78 |
Highmark BCBS Setting Professional Modifier None Typical Low $181.97 Median $204.17 Typical High $288.40 | Professional | None | $181.97 | $204.17 | $288.40 |
Independence Blue Cross Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $181.97 | Professional | None | $165.96 | $165.96 | $181.97 |
Martin's Point Setting Facility Modifier None Typical Low $257.04 Median $2,137.96 Typical High $7,244.36 | Facility | None | $257.04 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $97.72 Median $134.90 Typical High $162.18 | Professional | None | $97.72 | $134.90 | $162.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $67.61 Typical High $81.28 | Professional | 52 · Reduced service | $48.98 | $67.61 | $81.28 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $26.92 Typical High $32.36 | Professional | 53 · Discontinued | $19.95 | $26.92 | $32.36 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $74.13 Median $102.33 Typical High $123.03 | Professional | 54 · Surgery only | $74.13 | $102.33 | $123.03 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $20.42 Typical High $24.55 | Professional | 55 · Aftercare only | $14.79 | $20.42 | $24.55 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $13.49 Typical High $16.22 | Professional | 56 · Pre-op care only | $9.77 | $13.49 | $16.22 |
Oscar Health Setting Professional Modifier None Typical Low $131.83 Median $165.96 Typical High $190.55 | Professional | None | $131.83 | $165.96 | $190.55 |
UPMC Health Plan Setting Facility Modifier None Typical Low $112.20 Median $128.82 Typical High $162.18 | Facility | None | $112.20 | $128.82 | $162.18 |
UPMC Health Plan Setting Professional Modifier None Typical Low $112.20 Median $154.88 Typical High $162.18 | Professional | None | $112.20 | $154.88 | $162.18 |
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 $173.78 Typical High $239.88 | Professional | None | $117.49 | $173.78 | $239.88 |
Where Pennsylvania sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 37th of 51
$158
AK $468FL $132
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.