How much rates vary
Facilitymedian $1,023 · 10th to 90th $123 to $6,166Professionalmedian $151 · 10th to 90th $66 to $229
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 $186.21 Median $2,137.96 Typical High $8,317.64 | Facility | None | $186.21 | $2,137.96 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $144.54 Typical High $186.21 | Professional | None | $67.61 | $144.54 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $46.77 Typical High $93.33 | Professional | 52 · Reduced service | $33.88 | $46.77 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $18.62 Typical High $37.15 | Professional | 53 · Discontinued | $13.49 | $18.62 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $50.12 Median $69.18 Typical High $141.25 | Professional | 54 · Surgery only | $50.12 | $69.18 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $13.80 Typical High $28.18 | Professional | 55 · Aftercare only | $10.00 | $13.80 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $9.33 Typical High $18.62 | Professional | 56 · Pre-op care only | $6.76 | $9.33 | $18.62 |
AmeriHealth Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $173.78 | Professional | None | $165.96 | $165.96 | $173.78 |
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 $144.54 Median $151.36 Typical High $398.11 | Professional | None | $144.54 | $151.36 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $446.68 Typical High $537.03 | Facility | None | $213.80 | $446.68 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $138.04 Typical High $234.42 | Professional | None | $60.26 | $138.04 | $234.42 |
Emblem Health Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Geisinger Setting Professional Modifier None Typical Low $87.10 Median $177.83 Typical High $251.19 | Professional | None | $87.10 | $177.83 | $251.19 |
Highmark BCBS Setting Professional Modifier None Typical Low $125.89 Median $138.04 Typical High $147.91 | Professional | None | $125.89 | $138.04 | $147.91 |
Independence Blue Cross Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $169.82 | Professional | None | $165.96 | $165.96 | $169.82 |
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 $67.61 Median $144.54 Typical High $186.21 | Professional | None | $67.61 | $144.54 | $186.21 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $46.77 Typical High $93.33 | Professional | 52 · Reduced service | $33.88 | $46.77 | $93.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $18.62 Typical High $37.15 | Professional | 53 · Discontinued | $13.80 | $18.62 | $37.15 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $69.18 Typical High $141.25 | Professional | 54 · Surgery only | $51.29 | $69.18 | $141.25 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $13.80 Typical High $28.18 | Professional | 55 · Aftercare only | $10.23 | $13.80 | $28.18 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $9.33 Typical High $18.62 | Professional | 56 · Pre-op care only | $6.92 | $9.33 | $18.62 |
Oscar Health Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $354.81 | Professional | None | $186.21 | $186.21 | $354.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $69.18 Median $123.03 Typical High $177.83 | Facility | None | $69.18 | $123.03 | $177.83 |
UPMC Health Plan Setting Professional Modifier None Typical Low $69.18 Median $144.54 Typical High $165.96 | Professional | None | $69.18 | $144.54 | $165.96 |
United Setting Facility Modifier None Typical Low $275.42 Median $588.84 Typical High $676.08 | Facility | None | $275.42 | $588.84 | $676.08 |
United Setting Professional Modifier None Typical Low $66.07 Median $141.25 Typical High $245.47 | Professional | None | $66.07 | $141.25 | $245.47 |
Where Pennsylvania sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 31st of 51
$151
AK $288MD $83.18
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.