How much rates vary
Facilitymedian $8,318 · 10th to 90th $1,950 to $27,542Professionalmedian $912 · 10th to 90th $912 to $1,148
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 $912.01 Median $6,165.95 Typical High $10,964.78 | Facility | None | $912.01 | $6,165.95 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,513.56 | Professional | None | $912.01 | $912.01 | $1,513.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $457.09 Typical High $575.44 | Professional | 52 · Reduced service | $457.09 | $457.09 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $229.09 | Professional | 53 · Discontinued | $181.97 | $181.97 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $851.14 | Professional | 54 · Surgery only | $691.83 | $691.83 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $173.78 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $114.82 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $114.82 |
Capital Blue Cross Setting Facility Modifier None Typical Low $25,118.86 Median $47,863.01 Typical High $47,863.01 | Facility | None | $25,118.86 | $47,863.01 | $47,863.01 |
Cigna Setting Facility Modifier None Typical Low $8,511.38 Median $15,848.93 Typical High $24,547.09 | Facility | None | $8,511.38 | $15,848.93 | $24,547.09 |
Highmark BCBS Setting Facility Modifier None Typical Low $9,549.93 Median $36,307.81 Typical High $112,201.85 | Facility | None | $9,549.93 | $36,307.81 | $112,201.85 |
Martin's Point Setting Facility Modifier None Typical Low $1,023.29 Median $5,495.41 Typical High $11,481.54 | Facility | None | $1,023.29 | $5,495.41 | $11,481.54 |
Martin's Point Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,148.15 | Professional | None | $912.01 | $912.01 | $1,148.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $457.09 | $457.09 | $457.09 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 54 · Surgery only | $691.83 | $691.83 | $691.83 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $138.04 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $91.20 |
UPMC Health Plan Setting Facility Modifier None Typical Low $8,912.51 Median $12,302.69 Typical High $19,952.62 | Facility | None | $8,912.51 | $12,302.69 | $19,952.62 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $5,754.40 Typical High $30,902.95 | Facility | None | $2,818.38 | $5,754.40 | $30,902.95 |
Where Pennsylvania sits
The same service costs 5754.4 times more in Oklahoma than in Maine. 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· 46th of 51
$3,981
OK $22,909ME $3.98
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.