How much rates vary
Facilitymedian $537 · 10th to 90th $78 to $5,495Professionalmedian $48 · 10th to 90th $5 to $550
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 $47.86 Median $3,801.89 Typical High $8,511.38 | Facility | None | $47.86 | $3,801.89 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $707.95 | Professional | None | $47.86 | $47.86 | $707.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $23.99 Typical High $128.82 | Professional | 52 · Reduced service | $23.99 | $23.99 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $51.29 | Professional | 53 · Discontinued | $9.55 | $9.55 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $36.31 Median $36.31 Typical High $194.98 | Professional | 54 · Surgery only | $36.31 | $36.31 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $7.24 Typical High $38.90 | Professional | 55 · Aftercare only | $7.24 | $7.24 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $25.70 | Professional | 56 · Pre-op care only | $4.79 | $4.79 | $25.70 |
AmeriHealth Setting Facility Modifier None Typical Low $51,286.14 Median $51,286.14 Typical High $51,286.14 | Facility | None | $51,286.14 | $51,286.14 | $51,286.14 |
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 $537.03 Median $549.54 Typical High $549.54 | Professional | None | $537.03 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $645.65 Typical High $2,691.53 | Facility | None | $489.78 | $645.65 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
Highmark BCBS Setting Facility Modifier None Typical Low $812.83 Median $1,122.02 Typical High $5,495.41 | Facility | None | $812.83 | $1,122.02 | $5,495.41 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $64,565.42 | Facility | None | $1,445.44 | $1,698.24 | $64,565.42 |
Martin's Point Setting Facility Modifier None Typical Low $47.86 Median $3,801.89 Typical High $8,709.64 | Facility | None | $47.86 | $3,801.89 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $501.19 | Professional | None | $47.86 | $47.86 | $501.19 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $23.99 | $23.99 | $23.99 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $9.55 | $9.55 | $9.55 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 54 · Surgery only | $36.31 | $36.31 | $36.31 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 55 · Aftercare only | $7.24 | $7.24 | $7.24 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 56 · Pre-op care only | $4.79 | $4.79 | $4.79 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,318.26 Median $1,819.70 Typical High $2,951.21 | Facility | None | $1,318.26 | $1,819.70 | $2,951.21 |
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 |
Where Pennsylvania sits
The same service costs 281.8 times more in North Dakota 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· 30th of 51
$151
ND $1,549VT $5.50
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.