How much rates vary
Facilitymedian $363 · 10th to 90th $51 to $5,370Professionalmedian $47 · 10th to 90th $30 to $65
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 $46.77 Median $3,630.78 Typical High $8,511.38 | Facility | None | $46.77 | $3,630.78 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $46.77 Typical High $60.26 | Professional | None | $30.20 | $46.77 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $18.62 Typical High $29.51 | Professional | 52 · Reduced service | $15.14 | $18.62 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $7.59 Typical High $11.75 | Professional | 53 · Discontinued | $6.03 | $7.59 | $11.75 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $22.39 Median $28.18 Typical High $44.67 | Professional | 54 · Surgery only | $22.39 | $28.18 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $5.62 Typical High $8.91 | Professional | 55 · Aftercare only | $4.47 | $5.62 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.80 Typical High $5.89 | Professional | 56 · Pre-op care only | $3.02 | $3.80 | $5.89 |
Ambetter Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
AmeriHealth Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $67.61 | Professional | None | $53.70 | $53.70 | $67.61 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $5,011.87 Typical High $56,234.13 | Facility | None | $3,981.07 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $52.48 | Professional | None | $51.29 | $51.29 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $602.56 Typical High $2,290.87 | Facility | None | $489.78 | $602.56 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Emblem Health Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $85.11 | Professional | None | $74.13 | $74.13 | $85.11 |
Geisinger Setting Professional Modifier None Typical Low $38.02 Median $61.66 Typical High $97.72 | Professional | None | $38.02 | $61.66 | $97.72 |
Independence Blue Cross Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $60.26 | Professional | None | $53.70 | $53.70 | $60.26 |
Martin's Point Setting Facility Modifier None Typical Low $58.88 Median $3,630.78 Typical High $8,709.64 | Facility | None | $58.88 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $30.20 Median $46.77 Typical High $58.88 | Professional | None | $30.20 | $46.77 | $58.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $18.62 Typical High $29.51 | Professional | 52 · Reduced service | $15.14 | $18.62 | $29.51 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $8.51 Typical High $11.75 | Professional | 53 · Discontinued | $6.03 | $8.51 | $11.75 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $22.39 Median $28.18 Typical High $44.67 | Professional | 54 · Surgery only | $22.39 | $28.18 | $44.67 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $5.62 Typical High $8.91 | Professional | 55 · Aftercare only | $4.47 | $5.62 | $8.91 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.80 Typical High $5.89 | Professional | 56 · Pre-op care only | $3.02 | $3.80 | $5.89 |
Oscar Health Setting Professional Modifier None Typical Low $19.95 Median $25.12 Typical High $102.33 | Professional | None | $19.95 | $25.12 | $102.33 |
UPMC Health Plan Setting Facility Modifier None Typical Low $30.20 Median $33.11 Typical High $51.29 | Facility | None | $30.20 | $33.11 | $51.29 |
UPMC Health Plan Setting Professional Modifier None Typical Low $30.20 Median $41.69 Typical High $51.29 | Professional | None | $30.20 | $41.69 | $51.29 |
United Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $1,230.27 | Facility | None | $70.79 | $141.25 | $1,230.27 |
United Setting Professional Modifier None Typical Low $30.90 Median $46.77 Typical High $81.28 | Professional | None | $30.90 | $46.77 | $81.28 |
Where Pennsylvania sits
The same service costs 2.8 times more in Alaska than in California. 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· 48th of 51
$46.77
AK $129CA $46.77
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.