How much rates vary
Facilitymedian $537 · 10th to 90th $85 to $4,898Professionalmedian $363 · 10th to 90th $309 to $589
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 $537.03 Median $2,344.23 Typical High $8,317.64 | Facility | None | $537.03 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $346.74 Typical High $363.08 | Professional | None | $309.03 | $346.74 | $363.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $173.78 Typical High $181.97 | Professional | 52 · Reduced service | $154.88 | $173.78 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $69.18 Typical High $72.44 | Professional | 53 · Discontinued | $63.10 | $69.18 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $257.04 Typical High $275.42 | Professional | 54 · Surgery only | $234.42 | $257.04 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $51.29 Typical High $54.95 | Professional | 55 · Aftercare only | $46.77 | $51.29 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $34.67 Typical High $36.31 | Professional | 56 · Pre-op care only | $30.90 | $34.67 | $36.31 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $7,413.10 Typical High $56,234.13 | Facility | None | $3,981.07 | $7,413.10 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $524.81 Median $575.44 Typical High $56,234.13 | Professional | None | $524.81 | $575.44 | $56,234.13 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $446.68 Typical High $891.25 | Facility | None | $323.59 | $446.68 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $380.19 Typical High $758.58 | Professional | None | $346.74 | $380.19 | $758.58 |
Emblem Health Setting Professional Modifier None Typical Low $398.11 Median $537.03 Typical High $537.03 | Professional | None | $398.11 | $537.03 | $537.03 |
Geisinger Setting Professional Modifier None Typical Low $302.00 Median $416.87 Typical High $741.31 | Professional | None | $302.00 | $416.87 | $741.31 |
Highmark BCBS Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Highmark BCBS Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Martin's Point Setting Facility Modifier None Typical Low $588.84 Median $2,344.23 Typical High $7,244.36 | Facility | None | $588.84 | $2,344.23 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $309.03 Median $338.84 Typical High $363.08 | Professional | None | $309.03 | $338.84 | $363.08 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $165.96 Typical High $181.97 | Professional | 52 · Reduced service | $154.88 | $165.96 | $181.97 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $66.07 Typical High $72.44 | Professional | 53 · Discontinued | $63.10 | $66.07 | $72.44 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $251.19 Typical High $275.42 | Professional | 54 · Surgery only | $234.42 | $251.19 | $275.42 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $50.12 Typical High $54.95 | Professional | 55 · Aftercare only | $46.77 | $50.12 | $54.95 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $33.11 Typical High $36.31 | Professional | 56 · Pre-op care only | $30.90 | $33.11 | $36.31 |
Oscar Health Setting Professional Modifier None Typical Low $407.38 Median $467.74 Typical High $776.25 | Professional | None | $407.38 | $467.74 | $776.25 |
UPMC Health Plan Setting Facility Modifier None Typical Low $354.81 Median $1,122.02 Typical High $1,949.84 | Facility | None | $354.81 | $1,122.02 | $1,949.84 |
UPMC Health Plan Setting Professional Modifier None Typical Low $354.81 Median $371.54 Typical High $371.54 | Professional | None | $354.81 | $371.54 | $371.54 |
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 $338.84 Median $478.63 Typical High $602.56 | Professional | None | $338.84 | $478.63 | $602.56 |
Where Pennsylvania sits
The same service costs 4.9 times more in Alaska than in Utah. 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
$363
AK $1,445UT $295
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.