How much rates vary
Facilitymedian $417 · 10th to 90th $182 to $3,467Professionalmedian $263 · 10th to 90th $200 to $355
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 $295.12 Median $2,344.23 Typical High $8,317.64 | Facility | None | $295.12 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $263.03 Typical High $295.12 | Professional | None | $199.53 | $263.03 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $131.83 Typical High $147.91 | Professional | 52 · Reduced service | $100.00 | $131.83 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $52.48 Typical High $58.88 | Professional | 53 · Discontinued | $39.81 | $52.48 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $194.98 Typical High $218.78 | Professional | 54 · Surgery only | $151.36 | $194.98 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $38.90 Typical High $43.65 | Professional | 55 · Aftercare only | $30.20 | $38.90 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $26.30 Typical High $29.51 | Professional | 56 · Pre-op care only | $19.95 | $26.30 | $29.51 |
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 $275.42 Median $288.40 Typical High $407.38 | Professional | None | $275.42 | $288.40 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $323.59 Typical High $562.34 | Facility | None | $177.83 | $323.59 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $234.42 Typical High $354.81 | Professional | None | $181.97 | $234.42 | $354.81 |
Emblem Health Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $478.63 | Professional | None | $346.74 | $346.74 | $478.63 |
Geisinger Setting Facility Modifier None Typical Low $158.49 Median $199.53 Typical High $346.74 | Facility | None | $158.49 | $199.53 | $346.74 |
Geisinger Setting Professional Modifier None Typical Low $239.88 Median $323.59 Typical High $489.78 | Professional | None | $239.88 | $323.59 | $489.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Highmark BCBS Setting Professional Modifier None Typical Low $316.23 Median $346.74 Typical High $416.87 | Professional | None | $316.23 | $346.74 | $416.87 |
Martin's Point Setting Facility Modifier None Typical Low $478.63 Median $2,137.96 Typical High $7,244.36 | Facility | None | $478.63 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $199.53 Median $263.03 Typical High $295.12 | Professional | None | $199.53 | $263.03 | $295.12 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $131.83 Typical High $147.91 | Professional | 52 · Reduced service | $100.00 | $131.83 | $147.91 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $52.48 Typical High $58.88 | Professional | 53 · Discontinued | $39.81 | $52.48 | $58.88 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $194.98 Typical High $218.78 | Professional | 54 · Surgery only | $151.36 | $194.98 | $218.78 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $38.90 Typical High $43.65 | Professional | 55 · Aftercare only | $30.20 | $38.90 | $43.65 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $26.30 Typical High $29.51 | Professional | 56 · Pre-op care only | $19.95 | $26.30 | $29.51 |
Oscar Health Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $416.87 | Professional | None | $398.11 | $398.11 | $416.87 |
UPMC Health Plan Setting Facility Modifier None Typical Low $199.53 Median $295.12 Typical High $389.05 | Facility | None | $199.53 | $295.12 | $389.05 |
UPMC Health Plan Setting Professional Modifier None Typical Low $199.53 Median $295.12 Typical High $389.05 | Professional | None | $199.53 | $295.12 | $389.05 |
United Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $1,862.09 | Facility | None | $199.53 | $436.52 | $1,862.09 |
United Setting Professional Modifier None Typical Low $199.53 Median $263.03 Typical High $398.11 | Professional | None | $199.53 | $263.03 | $398.11 |
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· 43rd of 51
$263
AK $832FL $234
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.