How much rates vary
Facilitymedian $3,715 · 10th to 90th $589 to $7,943Professionalmedian $363 · 10th to 90th $331 to $661
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 $416.87 Median $4,897.79 Typical High $8,511.38 | Facility | None | $416.87 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $380.19 Typical High $416.87 | Professional | None | $338.84 | $380.19 | $416.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $177.83 Typical High $208.93 | Professional | 52 · Reduced service | $169.82 | $177.83 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $70.79 Typical High $83.18 | Professional | 53 · Discontinued | $67.61 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $269.15 Typical High $309.03 | Professional | 54 · Surgery only | $251.19 | $269.15 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $53.70 Typical High $61.66 | Professional | 55 · Aftercare only | $50.12 | $53.70 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $35.48 Typical High $41.69 | Professional | 56 · Pre-op care only | $33.88 | $35.48 | $41.69 |
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 $363.08 Median $380.19 Typical High $758.58 | Professional | None | $363.08 | $380.19 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,691.53 Typical High $5,888.44 | Facility | None | $501.19 | $2,691.53 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Emblem Health Setting Professional Modifier None Typical Low $467.74 Median $602.56 Typical High $602.56 | Professional | None | $467.74 | $602.56 | $602.56 |
Geisinger Setting Facility Modifier None Typical Low $3,630.78 Median $4,466.84 Typical High $7,943.28 | Facility | None | $3,630.78 | $4,466.84 | $7,943.28 |
Geisinger Setting Professional Modifier None Typical Low $346.74 Median $457.09 Typical High $630.96 | Professional | None | $346.74 | $457.09 | $630.96 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $3,801.89 Typical High $8,709.64 | Facility | None | $537.03 | $3,801.89 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $338.84 Median $354.81 Typical High $416.87 | Professional | None | $338.84 | $354.81 | $416.87 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $169.82 Typical High $208.93 | Professional | 52 · Reduced service | $169.82 | $169.82 | $208.93 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $83.18 | Professional | 53 · Discontinued | $67.61 | $67.61 | $83.18 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $257.04 Typical High $309.03 | Professional | 54 · Surgery only | $251.19 | $257.04 | $309.03 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $51.29 Typical High $61.66 | Professional | 55 · Aftercare only | $50.12 | $51.29 | $61.66 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $41.69 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $41.69 |
Oscar Health Setting Professional Modifier None Typical Low $398.11 Median $416.87 Typical High $616.60 | Professional | None | $398.11 | $416.87 | $616.60 |
UPMC Health Plan Setting Facility Modifier None Typical Low $363.08 Median $436.52 Typical High $436.52 | Facility | None | $363.08 | $436.52 | $436.52 |
UPMC Health Plan Setting Professional Modifier None Typical Low $363.08 Median $436.52 Typical High $436.52 | Professional | None | $363.08 | $436.52 | $436.52 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $3,235.94 Typical High $10,000.00 | Facility | None | $1,698.24 | $3,235.94 | $10,000.00 |
United Setting Professional Modifier None Typical Low $338.84 Median $363.08 Typical High $602.56 | Professional | None | $338.84 | $363.08 | $602.56 |
Where Pennsylvania sits
The same service costs 4.5 times more in Alaska than in New York. 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· 43rd of 51
$380
AK $1,479NY $331
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.