How much rates vary
Facilitymedian $4,898 · 10th to 90th $2,089 to $20,417Professionalmedian $2,951 · 10th to 90th $2,291 to $4,898
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 $3,388.44 Median $4,570.88 Typical High $60,255.96 | Facility | None | $3,388.44 | $4,570.88 | $60,255.96 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $3,388.44 Typical High $7,943.28 | Professional | None | $2,570.40 | $3,388.44 | $7,943.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,288.25 Median $1,445.44 Typical High $1,698.24 | Professional | 52 · Reduced service | $1,288.25 | $1,445.44 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $575.44 Typical High $676.08 | Professional | 53 · Discontinued | $512.86 | $575.44 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,949.84 Median $2,187.76 Typical High $2,570.40 | Professional | 54 · Surgery only | $1,949.84 | $2,187.76 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $436.52 Typical High $512.86 | Professional | 55 · Aftercare only | $389.05 | $436.52 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $288.40 Typical High $338.84 | Professional | 56 · Pre-op care only | $257.04 | $288.40 | $338.84 |
Capital Blue Cross Setting Facility Modifier None Typical Low $8,709.64 Median $12,022.64 Typical High $56,234.13 | Facility | None | $8,709.64 | $12,022.64 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $2,630.27 Median $2,754.23 Typical High $6,025.60 | Professional | None | $2,630.27 | $2,754.23 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Emblem Health Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | None | $7,762.47 | $7,762.47 | $7,762.47 |
Geisinger Setting Professional Modifier None Typical Low $912.01 Median $3,801.89 Typical High $5,248.07 | Professional | None | $912.01 | $3,801.89 | $5,248.07 |
Highmark BCBS Setting Facility Modifier None Typical Low $12,022.64 Median $12,022.64 Typical High $14,125.38 | Facility | None | $12,022.64 | $12,022.64 | $14,125.38 |
Martin's Point Setting Facility Modifier None Typical Low $3,388.44 Median $19,054.61 Typical High $60,255.96 | Facility | None | $3,388.44 | $19,054.61 | $60,255.96 |
Martin's Point Setting Professional Modifier None Typical Low $2,570.40 Median $3,090.30 Typical High $6,918.31 | Professional | None | $2,570.40 | $3,090.30 | $6,918.31 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1,288.25 Median $1,348.96 Typical High $1,698.24 | Professional | 52 · Reduced service | $1,288.25 | $1,348.96 | $1,698.24 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $537.03 Typical High $676.08 | Professional | 53 · Discontinued | $512.86 | $537.03 | $676.08 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $1,949.84 Median $2,041.74 Typical High $2,570.40 | Professional | 54 · Surgery only | $1,949.84 | $2,041.74 | $2,570.40 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $407.38 Typical High $512.86 | Professional | 55 · Aftercare only | $389.05 | $407.38 | $512.86 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $269.15 Typical High $338.84 | Professional | 56 · Pre-op care only | $257.04 | $269.15 | $338.84 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,000.00 Median $12,882.50 Typical High $20,417.38 | Facility | None | $1,000.00 | $12,882.50 | $20,417.38 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $2,570.40 | Professional | None | $1,000.00 | $1,000.00 | $2,570.40 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $3,715.35 Typical High $6,918.31 | Facility | None | $1,862.09 | $3,715.35 | $6,918.31 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $3,019.95 Typical High $5,011.87 | Professional | None | $1,513.56 | $3,019.95 | $5,011.87 |
Where Pennsylvania sits
The same service costs 14.1 times more in Alaska than in Missouri. 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
$2,951
AK $8,511MO $603
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.