How much rates vary
Facilitymedian $603 · 10th to 90th $339 to $7,244Professionalmedian $162 · 10th to 90th $145 to $263
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 $162.18 Median $3,801.89 Typical High $8,511.38 | Facility | None | $162.18 | $3,801.89 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $162.18 Typical High $186.21 | Professional | None | $144.54 | $162.18 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $81.28 Typical High $89.13 | Professional | 52 · Reduced service | $72.44 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $32.36 Typical High $35.48 | Professional | 53 · Discontinued | $28.84 | $32.36 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $123.03 Typical High $134.90 | Professional | 54 · Surgery only | $109.65 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $24.55 Typical High $26.92 | Professional | 55 · Aftercare only | $21.88 | $24.55 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $16.22 Typical High $17.78 | Professional | 56 · Pre-op care only | $14.45 | $16.22 | $17.78 |
AmeriHealth Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,754.23 Median $5,011.87 Typical High $56,234.13 | Facility | None | $2,754.23 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $208.93 Median $263.03 Typical High $263.03 | Professional | None | $208.93 | $263.03 | $263.03 |
Geisinger Setting Facility Modifier None Typical Low $338.84 Median $426.58 Typical High $741.31 | Facility | None | $338.84 | $426.58 | $741.31 |
Geisinger Setting Professional Modifier None Typical Low $134.90 Median $147.91 Typical High $223.87 | Professional | None | $134.90 | $147.91 | $223.87 |
Highmark BCBS Setting Facility Modifier None Typical Low $446.68 Median $1,318.26 Typical High $2,951.21 | Facility | None | $446.68 | $1,318.26 | $2,951.21 |
Independence Blue Cross Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Martin's Point Setting Facility Modifier None Typical Low $162.18 Median $3,801.89 Typical High $8,709.64 | Facility | None | $162.18 | $3,801.89 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $144.54 Median $162.18 Typical High $186.21 | Professional | None | $144.54 | $162.18 | $186.21 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $81.28 Typical High $89.13 | Professional | 52 · Reduced service | $72.44 | $81.28 | $89.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $32.36 Typical High $35.48 | Professional | 53 · Discontinued | $28.84 | $32.36 | $35.48 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $123.03 Typical High $134.90 | Professional | 54 · Surgery only | $109.65 | $123.03 | $134.90 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $24.55 Typical High $26.92 | Professional | 55 · Aftercare only | $21.88 | $24.55 | $26.92 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $16.22 Typical High $17.78 | Professional | 56 · Pre-op care only | $14.45 | $16.22 | $17.78 |
Oscar Health Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $323.59 | Professional | None | $173.78 | $173.78 | $323.59 |
Where Pennsylvania sits
The same service costs 7.6 times more in Nebraska than in West Virginia. 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· 38th of 51
$186
NE $891WV $117
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.