How much rates vary
Facilitymedian $1,259 · 10th to 90th $331 to $7,943Professionalmedian $195 · 10th to 90th $174 to $302
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 $194.98 Median $3,630.78 Typical High $8,511.38 | Facility | None | $194.98 | $3,630.78 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $194.98 Typical High $218.78 | Professional | None | $173.78 | $194.98 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $97.72 Typical High $104.71 | Professional | 52 · Reduced service | $87.10 | $97.72 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $38.90 Typical High $41.69 | Professional | 53 · Discontinued | $34.67 | $38.90 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $144.54 Typical High $158.49 | Professional | 54 · Surgery only | $128.82 | $144.54 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $29.51 Typical High $31.62 | Professional | 55 · Aftercare only | $26.30 | $29.51 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $19.50 Typical High $20.89 | Professional | 56 · Pre-op care only | $17.38 | $19.50 | $20.89 |
AmeriHealth Setting Facility Modifier None Typical Low $331.13 Median $1,698.24 Typical High $5,888.44 | Facility | None | $331.13 | $1,698.24 | $5,888.44 |
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 $239.88 Median $302.00 Typical High $302.00 | Professional | None | $239.88 | $302.00 | $302.00 |
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 $177.83 Median $181.97 Typical High $302.00 | Professional | None | $177.83 | $181.97 | $302.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $436.52 Median $1,148.15 Typical High $6,309.57 | Facility | None | $436.52 | $1,148.15 | $6,309.57 |
Independence Blue Cross Setting Facility Modifier None Typical Low $331.13 Median $1,621.81 Typical High $10,715.19 | Facility | None | $331.13 | $1,621.81 | $10,715.19 |
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 $194.98 Median $2,818.38 Typical High $8,511.38 | Facility | None | $194.98 | $2,818.38 | $8,511.38 |
Martin's Point Setting Professional Modifier None Typical Low $173.78 Median $194.98 Typical High $218.78 | Professional | None | $173.78 | $194.98 | $218.78 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $97.72 Typical High $104.71 | Professional | 52 · Reduced service | $87.10 | $97.72 | $104.71 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $38.90 Typical High $41.69 | Professional | 53 · Discontinued | $34.67 | $38.90 | $41.69 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $144.54 Typical High $158.49 | Professional | 54 · Surgery only | $128.82 | $144.54 | $158.49 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $29.51 Typical High $31.62 | Professional | 55 · Aftercare only | $26.30 | $29.51 | $31.62 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $19.50 Typical High $20.89 | Professional | 56 · Pre-op care only | $17.38 | $19.50 | $20.89 |
Oscar Health Setting Professional Modifier None Typical Low $223.87 Median $234.42 Typical High $380.19 | Professional | None | $223.87 | $234.42 | $380.19 |
Where Pennsylvania sits
The same service costs 25.7 times more in Oklahoma than in Vermont. 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· 29th of 51
$275
OK $3,631VT $141
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.