How much rates vary
Facilitymedian $575 · 10th to 90th $87 to $4,898Professionalmedian $347 · 10th to 90th $178 to $813
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 $446.68 Median $2,344.23 Typical High $8,317.64 | Facility | None | $446.68 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $316.23 Typical High $446.68 | Professional | None | $165.96 | $316.23 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $112.20 Typical High $223.87 | Professional | 52 · Reduced service | $81.28 | $112.20 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $44.67 Typical High $89.13 | Professional | 53 · Discontinued | $33.11 | $44.67 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $165.96 Typical High $331.13 | Professional | 54 · Surgery only | $123.03 | $165.96 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $33.11 Typical High $67.61 | Professional | 55 · Aftercare only | $24.55 | $33.11 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $22.39 Typical High $44.67 | Professional | 56 · Pre-op care only | $16.60 | $22.39 | $44.67 |
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 $302.00 Median $676.08 Typical High $870.96 | Professional | None | $302.00 | $676.08 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $1,174.90 | Facility | None | $446.68 | $602.56 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Emblem Health Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $524.81 | Professional | None | $467.74 | $467.74 | $524.81 |
Geisinger Setting Professional Modifier None Typical Low $223.87 Median $446.68 Typical High $660.69 | Professional | None | $223.87 | $446.68 | $660.69 |
Martin's Point Setting Facility Modifier None Typical Low $478.63 Median $2,137.96 Typical High $7,244.36 | Facility | None | $478.63 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $165.96 Median $346.74 Typical High $446.68 | Professional | None | $165.96 | $346.74 | $446.68 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $112.20 Typical High $223.87 | Professional | 52 · Reduced service | $81.28 | $112.20 | $223.87 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $44.67 Typical High $89.13 | Professional | 53 · Discontinued | $33.11 | $44.67 | $89.13 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $165.96 Typical High $331.13 | Professional | 54 · Surgery only | $123.03 | $165.96 | $331.13 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $33.11 Typical High $67.61 | Professional | 55 · Aftercare only | $24.55 | $33.11 | $67.61 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $22.39 Typical High $44.67 | Professional | 56 · Pre-op care only | $16.60 | $22.39 | $44.67 |
Oscar Health Setting Professional Modifier None Typical Low $354.81 Median $446.68 Typical High $676.08 | Professional | None | $354.81 | $446.68 | $676.08 |
UPMC Health Plan Setting Facility Modifier None Typical Low $177.83 Median $218.78 Typical High $478.63 | Facility | None | $177.83 | $218.78 | $478.63 |
UPMC Health Plan Setting Professional Modifier None Typical Low $177.83 Median $363.08 Typical High $478.63 | Professional | None | $177.83 | $363.08 | $478.63 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,445.44 | Facility | None | $77.62 | $158.49 | $1,445.44 |
United Setting Professional Modifier None Typical Low $190.55 Median $407.38 Typical High $812.83 | Professional | None | $190.55 | $407.38 | $812.83 |
Where Pennsylvania sits
The same service costs 2.8 times more in Wisconsin than in Utah. 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· 34th of 51
$347
WI $813UT $288
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.