How much rates vary
Facilitymedian $324 · 10th to 90th $50 to $2,754Professionalmedian $66 · 10th to 90th $28 to $112
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 $38.02 Median $416.87 Typical High $4,897.79 | Facility | None | $38.02 | $416.87 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $70.79 Typical High $120.23 | Professional | None | $32.36 | $70.79 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $25.70 Median $32.36 Typical High $83.18 | Professional | 54 · Surgery only | $25.70 | $32.36 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $6.46 Typical High $16.60 | Professional | 55 · Aftercare only | $5.13 | $6.46 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $4.37 Typical High $11.22 | Professional | 56 · Pre-op care only | $3.39 | $4.37 | $11.22 |
Ambetter Setting Professional Modifier None Typical Low $46.77 Median $50.12 Typical High $50.12 | Professional | None | $46.77 | $50.12 | $50.12 |
AmeriHealth Setting Facility Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Facility | None | $10,000.00 | $10,000.00 | $10,000.00 |
AmeriHealth Setting Professional Modifier None Typical Low $26.30 Median $77.62 Typical High $77.62 | Professional | None | $26.30 | $77.62 | $77.62 |
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 $100.00 Median $100.00 Typical High $114.82 | Professional | None | $100.00 | $100.00 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $151.36 | Facility | None | $128.82 | $128.82 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $33.88 Typical High $112.20 | Professional | None | $19.50 | $33.88 | $112.20 |
Emblem Health Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Geisinger Setting Professional Modifier None Typical Low $47.86 Median $104.71 Typical High $165.96 | Professional | None | $47.86 | $104.71 | $165.96 |
Highmark BCBS Setting Facility Modifier None Typical Low $229.09 Median $407.38 Typical High $707.95 | Facility | None | $229.09 | $407.38 | $707.95 |
Highmark BCBS Setting Professional Modifier None Typical Low $54.95 Median $77.62 Typical High $97.72 | Professional | None | $54.95 | $77.62 | $97.72 |
Independence Blue Cross Setting Facility Modifier None Typical Low $3,715.35 Median $4,677.35 Typical High $12,589.25 | Facility | None | $3,715.35 | $4,677.35 | $12,589.25 |
Independence Blue Cross Setting Professional Modifier None Typical Low $26.30 Median $77.62 Typical High $77.62 | Professional | None | $26.30 | $77.62 | $77.62 |
Martin's Point Setting Facility Modifier None Typical Low $46.77 Median $416.87 Typical High $4,073.80 | Facility | None | $46.77 | $416.87 | $4,073.80 |
Martin's Point Setting Professional Modifier None Typical Low $33.88 Median $72.44 Typical High $120.23 | Professional | None | $33.88 | $72.44 | $120.23 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $25.70 Median $32.36 Typical High $83.18 | Professional | 54 · Surgery only | $25.70 | $32.36 | $83.18 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $11.75 Typical High $16.60 | Professional | 55 · Aftercare only | $5.25 | $11.75 | $16.60 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $9.77 Typical High $11.22 | Professional | 56 · Pre-op care only | $3.80 | $9.77 | $11.22 |
Oscar Health Setting Facility Modifier None Typical Low $95.50 Median $316.23 Typical High $426.58 | Facility | None | $95.50 | $316.23 | $426.58 |
Oscar Health Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $128.82 | Professional | None | $57.54 | $57.54 | $128.82 |
UPMC Health Plan Setting Facility Modifier None Typical Low $39.81 Median $77.62 Typical High $120.23 | Facility | None | $39.81 | $77.62 | $120.23 |
UPMC Health Plan Setting Professional Modifier None Typical Low $34.67 Median $77.62 Typical High $97.72 | Professional | None | $34.67 | $77.62 | $97.72 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,230.27 | Facility | None | $77.62 | $158.49 | $1,230.27 |
United Setting Professional Modifier None Typical Low $30.20 Median $54.95 Typical High $102.33 | Professional | None | $30.20 | $54.95 | $102.33 |
Where Pennsylvania sits
The same service costs 2.8 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· 24th of 51
$77.62
AK $141KY $51.29
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.