How much rates vary
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 $2,754.23 Median $3,630.78 Typical High $16,982.44 | Facility | None | $2,754.23 | $3,630.78 | $16,982.44 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,754.23 Typical High $4,365.16 | Professional | None | $2,089.30 | $2,754.23 | $4,365.16 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,047.13 Median $1,174.90 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,047.13 | $1,174.90 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $467.74 Typical High $549.54 | Professional | 53 · Discontinued | $416.87 | $467.74 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,778.28 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,584.89 | $1,778.28 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $354.81 Typical High $416.87 | Professional | 55 · Aftercare only | $316.23 | $354.81 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $234.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $208.93 | $234.42 | $275.42 |
Capital Blue Cross Setting Facility Modifier None Typical Low $5,248.07 Median $6,025.60 Typical High $56,234.13 | Facility | None | $5,248.07 | $6,025.60 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1,995.26 Median $2,041.74 Typical High $4,466.84 | Professional | None | $1,995.26 | $2,041.74 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Emblem Health Setting Professional Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Professional | None | $6,025.60 | $6,025.60 | $6,025.60 |
Geisinger Setting Professional Modifier None Typical Low $758.58 Median $2,818.38 Typical High $3,981.07 | Professional | None | $758.58 | $2,818.38 | $3,981.07 |
Highmark BCBS Setting Facility Modifier None Typical Low $12,022.64 Median $12,022.64 Typical High $12,022.64 | Facility | None | $12,022.64 | $12,022.64 | $12,022.64 |
Independence Blue Cross Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,890.45 | Professional | None | $2,884.03 | $2,884.03 | $3,890.45 |
Martin's Point Setting Facility Modifier None Typical Low $2,754.23 Median $8,511.38 Typical High $21,877.62 | Facility | None | $2,754.23 | $8,511.38 | $21,877.62 |
Martin's Point Setting Professional Modifier None Typical Low $2,089.30 Median $2,511.89 Typical High $4,365.16 | Professional | None | $2,089.30 | $2,511.89 | $4,365.16 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1,047.13 Median $1,047.13 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,380.38 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $549.54 | Professional | 53 · Discontinued | $416.87 | $416.87 | $549.54 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,584.89 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,584.89 | $1,584.89 | $2,089.30 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $416.87 | Professional | 55 · Aftercare only | $316.23 | $316.23 | $416.87 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $275.42 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $275.42 |
UPMC Health Plan Setting Facility Modifier None Typical Low $831.76 Median $9,332.54 Typical High $14,791.08 | Facility | None | $831.76 | $9,332.54 | $14,791.08 |
UPMC Health Plan Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,949.84 | Professional | None | $831.76 | $831.76 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $2,884.03 Typical High $6,025.60 | Facility | None | $1,445.44 | $2,884.03 | $6,025.60 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $2,238.72 Typical High $3,715.35 | Professional | None | $1,445.44 | $2,238.72 | $3,715.35 |
Where Pennsylvania sits
The same service costs 9.3 times more in Alaska than in Indiana. 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· 35th of 51
$2,291
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.