How much rates vary
Facilitymedian $617 · 10th to 90th $85 to $5,012Professionalmedian $182 · 10th to 90th $155 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 $645.65 Median $3,090.30 Typical High $8,511.38 | Facility | None | $645.65 | $3,090.30 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $165.96 Typical High $181.97 | Professional | None | $154.88 | $165.96 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $83.18 Typical High $91.20 | Professional | 52 · Reduced service | $77.62 | $83.18 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $33.11 Typical High $36.31 | Professional | 53 · Discontinued | $30.90 | $33.11 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $123.03 Typical High $134.90 | Professional | 54 · Surgery only | $117.49 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $25.12 Typical High $27.54 | Professional | 55 · Aftercare only | $23.44 | $25.12 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $16.60 Typical High $18.20 | Professional | 56 · Pre-op care only | $15.49 | $16.60 | $18.20 |
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 $263.03 Median $281.84 Typical High $56,234.13 | Professional | None | $263.03 | $281.84 | $56,234.13 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $588.84 Typical High $977.24 | Facility | None | $436.52 | $588.84 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $177.83 Typical High $371.54 | Professional | None | $151.36 | $177.83 | $371.54 |
Emblem Health Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $269.15 | Professional | None | $199.53 | $269.15 | $269.15 |
Geisinger Setting Professional Modifier None Typical Low $151.36 Median $204.17 Typical High $331.13 | Professional | None | $151.36 | $204.17 | $331.13 |
Highmark BCBS Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Martin's Point Setting Facility Modifier None Typical Low $724.44 Median $2,754.23 Typical High $8,317.64 | Facility | None | $724.44 | $2,754.23 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $154.88 Median $165.96 Typical High $181.97 | Professional | None | $154.88 | $165.96 | $181.97 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $83.18 Typical High $91.20 | Professional | 52 · Reduced service | $77.62 | $83.18 | $91.20 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $33.11 Typical High $36.31 | Professional | 53 · Discontinued | $30.90 | $33.11 | $36.31 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $123.03 Typical High $134.90 | Professional | 54 · Surgery only | $117.49 | $123.03 | $134.90 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $25.12 Typical High $27.54 | Professional | 55 · Aftercare only | $23.44 | $25.12 | $27.54 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $16.60 Typical High $18.20 | Professional | 56 · Pre-op care only | $15.49 | $16.60 | $18.20 |
Oscar Health Setting Professional Modifier None Typical Low $204.17 Median $234.42 Typical High $371.54 | Professional | None | $204.17 | $234.42 | $371.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $177.83 Median $1,513.56 Typical High $2,630.27 | Facility | None | $177.83 | $1,513.56 | $2,630.27 |
UPMC Health Plan Setting Professional Modifier None Typical Low $177.83 Median $181.97 Typical High $181.97 | Professional | None | $177.83 | $181.97 | $181.97 |
United Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $1,230.27 | Facility | None | $70.79 | $141.25 | $1,230.27 |
United Setting Professional Modifier None Typical Low $165.96 Median $239.88 Typical High $302.00 | Professional | None | $165.96 | $239.88 | $302.00 |
Where Pennsylvania sits
The same service costs 4.5 times more in Alaska than in New York. 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· 45th of 51
$182
AK $724NY $162
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.