How much rates vary
Facilitymedian $56,234 · 10th to 90th $15,849 to $204,174Professionalmedian $15,849 · 10th to 90th $15,849 to $15,849
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 $15,848.93 Median $15,848.93 Typical High $15,848.93 | Facility | None | $15,848.93 | $15,848.93 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $15,848.93 Median $15,848.93 Typical High $15,848.93 | Professional | None | $15,848.93 | $15,848.93 | $15,848.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Professional | 52 · Reduced service | $7,943.28 | $7,943.28 | $7,943.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | 53 · Discontinued | $3,162.28 | $3,162.28 | $3,162.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | 55 · Aftercare only | $2,398.83 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | 56 · Pre-op care only | $1,584.89 | $1,584.89 | $1,584.89 |
AmeriHealth Setting Facility Modifier None Typical Low $47,863.01 Median $128,824.96 Typical High $281,838.29 | Facility | None | $47,863.01 | $128,824.96 | $281,838.29 |
Cigna Setting Professional Modifier None Typical Low $13,803.84 Median $13,803.84 Typical High $13,803.84 | Professional | None | $13,803.84 | $13,803.84 | $13,803.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $831.76 Median $35,481.34 Typical High $85,113.80 | Facility | None | $831.76 | $35,481.34 | $85,113.80 |
Independence Blue Cross Setting Facility Modifier None Typical Low $22,908.68 Median $85,113.80 Typical High $218,776.16 | Facility | None | $22,908.68 | $85,113.80 | $218,776.16 |
Martin's Point Setting Facility Modifier None Typical Low $15,848.93 Median $15,848.93 Typical High $32,359.37 | Facility | None | $15,848.93 | $15,848.93 | $32,359.37 |
Martin's Point Setting Professional Modifier None Typical Low $15,848.93 Median $15,848.93 Typical High $15,848.93 | Professional | None | $15,848.93 | $15,848.93 | $15,848.93 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Professional | 52 · Reduced service | $7,943.28 | $7,943.28 | $7,943.28 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | 53 · Discontinued | $3,162.28 | $3,162.28 | $3,162.28 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | 55 · Aftercare only | $2,398.83 | $2,398.83 | $2,398.83 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | 56 · Pre-op care only | $1,584.89 | $1,584.89 | $1,584.89 |
UPMC Health Plan Setting Facility Modifier None Typical Low $85,113.80 Median $144,543.98 Typical High $213,796.21 | Facility | None | $85,113.80 | $144,543.98 | $213,796.21 |
United Setting Facility Modifier None Typical Low $23,988.33 Median $51,286.14 Typical High $58,884.37 | Facility | None | $23,988.33 | $51,286.14 | $58,884.37 |
Where Pennsylvania sits
The same service costs 524.8 times more in Oklahoma than in Montana. 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· 35th of 51
$15,849
OK $41,687MT $79.43
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.