How much rates vary
Facilitymedian $776 · 10th to 90th $20 to $6,166Professionalmedian $20 · 10th to 90th $18 to $38
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 $20.42 Median $1,995.26 Typical High $7,943.28 | Facility | None | $20.42 | $1,995.26 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $20.42 Typical High $660.69 | Professional | None | $17.78 | $20.42 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $8.91 Typical High $10.23 | Professional | 52 · Reduced service | $8.71 | $8.91 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.63 Typical High $4.07 | Professional | 53 · Discontinued | $3.55 | $3.63 | $4.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $2.69 Typical High $3.09 | Professional | 55 · Aftercare only | $2.63 | $2.69 | $3.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $1.82 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.78 | $1.82 | $2.04 |
AmeriHealth Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Capital Blue Cross Setting Facility Modifier None Typical Low $134.90 Median $5,011.87 Typical High $56,234.13 | Facility | None | $134.90 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $15.49 Median $18.20 Typical High $37.15 | Professional | None | $15.49 | $18.20 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $107.15 Typical High $128.82 | Facility | None | $47.86 | $107.15 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $20.42 Typical High $43.65 | Professional | None | $16.98 | $20.42 | $43.65 |
Geisinger Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $32.36 | Professional | None | $26.92 | $26.92 | $32.36 |
Highmark BCBS Setting Facility Modifier None Typical Low $23.44 Median $97.72 Typical High $213.80 | Facility | None | $23.44 | $97.72 | $213.80 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,511.89 | Facility | None | $1,995.26 | $1,995.26 | $2,511.89 |
Martin's Point Setting Facility Modifier None Typical Low $20.42 Median $1,819.70 Typical High $6,606.93 | Facility | None | $20.42 | $1,819.70 | $6,606.93 |
Martin's Point Setting Professional Modifier None Typical Low $17.78 Median $20.42 Typical High $32.36 | Professional | None | $17.78 | $20.42 | $32.36 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $8.91 Typical High $10.23 | Professional | 52 · Reduced service | $8.71 | $8.91 | $10.23 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.63 Typical High $4.07 | Professional | 53 · Discontinued | $3.55 | $3.63 | $4.07 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $2.69 Typical High $3.09 | Professional | 55 · Aftercare only | $2.63 | $2.69 | $3.09 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $1.82 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.78 | $1.82 | $2.04 |
Oscar Health Setting Facility Modifier None Typical Low $602.56 Median $776.25 Typical High $11,220.18 | Facility | None | $602.56 | $776.25 | $11,220.18 |
UPMC Health Plan Setting Facility Modifier None Typical Low $17.78 Median $46.77 Typical High $74.13 | Facility | None | $17.78 | $46.77 | $74.13 |
UPMC Health Plan Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $21.88 | Professional | None | $17.78 | $17.78 | $21.88 |
United Setting Facility Modifier None Typical Low $64.57 Median $138.04 Typical High $158.49 | Facility | None | $64.57 | $138.04 | $158.49 |
United Setting Professional Modifier None Typical Low $18.20 Median $23.99 Typical High $38.02 | Professional | None | $18.20 | $23.99 | $38.02 |
Where Pennsylvania sits
The same service costs 40.7 times more in Tennessee 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· 22nd of 51
$31.62
TN $676NY $16.60
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.