How much rates vary
Facilitymedian $1,047 · 10th to 90th $62 to $8,511Professionalmedian $148 · 10th to 90th $63 to $257
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 $134.90 Median $2,818.38 Typical High $8,511.38 | Facility | None | $134.90 | $2,818.38 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $112.20 Typical High $158.49 | Professional | None | $61.66 | $112.20 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $41.69 Typical High $79.43 | Professional | 52 · Reduced service | $30.90 | $41.69 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $16.60 Typical High $31.62 | Professional | 53 · Discontinued | $12.59 | $16.60 | $31.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $63.10 Typical High $117.49 | Professional | 54 · Surgery only | $46.77 | $63.10 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $12.59 Typical High $23.44 | Professional | 55 · Aftercare only | $9.33 | $12.59 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $8.32 Typical High $15.85 | Professional | 56 · Pre-op care only | $6.17 | $8.32 | $15.85 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $147.91 Median $151.36 Typical High $275.42 | Professional | None | $147.91 | $151.36 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $141.25 Typical High $223.87 | Professional | None | $63.10 | $141.25 | $223.87 |
Emblem Health Setting Professional Modifier None Typical Low $208.93 Median $234.42 Typical High $269.15 | Professional | None | $208.93 | $234.42 | $269.15 |
Geisinger Setting Professional Modifier None Typical Low $83.18 Median $158.49 Typical High $302.00 | Professional | None | $83.18 | $158.49 | $302.00 |
Martin's Point Setting Facility Modifier None Typical Low $158.49 Median $3,630.78 Typical High $8,709.64 | Facility | None | $158.49 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $61.66 Median $112.20 Typical High $158.49 | Professional | None | $61.66 | $112.20 | $158.49 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $41.69 Typical High $79.43 | Professional | 52 · Reduced service | $30.90 | $41.69 | $79.43 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $16.60 Typical High $31.62 | Professional | 53 · Discontinued | $12.59 | $16.60 | $31.62 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $63.10 Typical High $117.49 | Professional | 54 · Surgery only | $46.77 | $63.10 | $117.49 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $12.59 Typical High $23.44 | Professional | 55 · Aftercare only | $9.33 | $12.59 | $23.44 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $8.32 Typical High $15.85 | Professional | 56 · Pre-op care only | $6.17 | $8.32 | $15.85 |
Oscar Health Setting Professional Modifier None Typical Low $165.96 Median $199.53 Typical High $302.00 | Professional | None | $165.96 | $199.53 | $302.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $63.10 Median $64.57 Typical High $218.78 | Facility | None | $63.10 | $64.57 | $218.78 |
UPMC Health Plan Setting Professional Modifier None Typical Low $63.10 Median $141.25 Typical High $218.78 | Professional | None | $63.10 | $141.25 | $218.78 |
United Setting Facility Modifier None Typical Low $53.70 Median $58.88 Typical High $58.88 | Facility | None | $53.70 | $58.88 | $58.88 |
United Setting Professional Modifier None Typical Low $61.66 Median $125.89 Typical High $229.09 | Professional | None | $61.66 | $125.89 | $229.09 |
Where Pennsylvania sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 19th of 51
$148
AK $263KY $75.86
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.