How much rates vary
Facilitymedian $3,236 · 10th to 90th $562 to $8,511Professionalmedian $2,570 · 10th to 90th $234 to $4,467
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 $309.03 Median $3,090.30 Typical High $8,317.64 | Facility | None | $309.03 | $3,090.30 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $954.99 Typical High $3,311.31 | Professional | None | $213.80 | $954.99 | $3,311.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $158.49 Typical High $1,621.81 | Professional | 52 · Reduced service | $107.15 | $158.49 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $63.10 Typical High $645.65 | Professional | 53 · Discontinued | $43.65 | $63.10 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $234.42 Typical High $2,398.83 | Professional | 54 · Surgery only | $162.18 | $234.42 | $2,398.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $46.77 Typical High $478.63 | Professional | 55 · Aftercare only | $32.36 | $46.77 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $31.62 Typical High $323.59 | Professional | 56 · Pre-op care only | $21.38 | $31.62 | $323.59 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $15,848.93 Typical High $56,234.13 | Facility | None | $3,981.07 | $15,848.93 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $2,511.89 Median $2,630.27 Typical High $6,918.31 | Professional | None | $2,511.89 | $2,630.27 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $4,168.69 Typical High $6,918.31 | Facility | None | $501.19 | $4,168.69 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $691.83 Typical High $4,570.88 | Professional | None | $234.42 | $691.83 | $4,570.88 |
Emblem Health Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,570.88 | Professional | None | $4,466.84 | $4,466.84 | $4,570.88 |
Geisinger Setting Facility Modifier None Typical Low $4,168.69 Median $5,248.07 Typical High $9,120.11 | Facility | None | $4,168.69 | $5,248.07 | $9,120.11 |
Geisinger Setting Professional Modifier None Typical Low $263.03 Median $3,235.94 Typical High $4,365.16 | Professional | None | $263.03 | $3,235.94 | $4,365.16 |
Highmark BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $13,182.57 Typical High $29,512.09 | Facility | None | $4,168.69 | $13,182.57 | $29,512.09 |
Martin's Point Setting Facility Modifier None Typical Low $363.08 Median $2,754.23 Typical High $8,317.64 | Facility | None | $363.08 | $2,754.23 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $213.80 Median $954.99 Typical High $3,388.44 | Professional | None | $213.80 | $954.99 | $3,388.44 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $158.49 Typical High $1,621.81 | Professional | 52 · Reduced service | $107.15 | $158.49 | $1,621.81 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $63.10 Typical High $645.65 | Professional | 53 · Discontinued | $43.65 | $63.10 | $645.65 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $234.42 Typical High $2,398.83 | Professional | 54 · Surgery only | $162.18 | $234.42 | $2,398.83 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $46.77 Typical High $478.63 | Professional | 55 · Aftercare only | $32.36 | $46.77 | $478.63 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $31.62 Typical High $323.59 | Professional | 56 · Pre-op care only | $21.38 | $31.62 | $323.59 |
Oscar Health Setting Professional Modifier None Typical Low $5.01 Median $3,090.30 Typical High $11,481.54 | Professional | None | $5.01 | $3,090.30 | $11,481.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $239.88 Median $2,290.87 Typical High $3,311.31 | Facility | None | $239.88 | $2,290.87 | $3,311.31 |
UPMC Health Plan Setting Professional Modifier None Typical Low $239.88 Median $2,691.53 Typical High $3,311.31 | Professional | None | $239.88 | $2,691.53 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $2,398.83 Typical High $6,918.31 | Facility | None | $1,380.38 | $2,398.83 | $6,918.31 |
United Setting Professional Modifier None Typical Low $239.88 Median $1,584.89 Typical High $5,370.32 | Professional | None | $239.88 | $1,584.89 | $5,370.32 |
Where Pennsylvania sits
The same service costs 11.2 times more in Alaska than in Nebraska. 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· 32nd of 51
$2,570
AK $5,248NE $468
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.