How much rates vary
Facilitymedian $4,467 · 10th to 90th $3,890 to $14,454Professionalmedian $3,890 · 10th to 90th $3,802 to $4,365
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 $3,890.45 Median $4,073.80 Typical High $10,000.00 | Facility | None | $3,890.45 | $4,073.80 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $3,981.07 Typical High $4,265.80 | Professional | None | $3,890.45 | $3,981.07 | $4,265.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,949.84 Median $1,995.26 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,949.84 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 53 · Discontinued | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 55 · Aftercare only | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $389.05 Median $398.11 Typical High $398.11 | Professional | 56 · Pre-op care only | $389.05 | $398.11 | $398.11 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,801.89 Median $4,265.80 Typical High $5,011.87 | Facility | None | $3,801.89 | $4,265.80 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | None | $4,073.80 | $4,073.80 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $3,890.45 Median $6,606.93 Typical High $15,135.61 | Facility | None | $3,890.45 | $6,606.93 | $15,135.61 |
Cigna Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Geisinger Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Geisinger Setting Professional Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $7,079.46 | Professional | None | $5,888.44 | $5,888.44 | $7,079.46 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $8,128.31 | Facility | None | $2,818.38 | $2,818.38 | $8,128.31 |
Independence Blue Cross Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,786.30 | Facility | None | $4,168.69 | $4,168.69 | $4,786.30 |
Martin's Point Setting Facility Modifier None Typical Low $3,890.45 Median $5,754.40 Typical High $10,000.00 | Facility | None | $3,890.45 | $5,754.40 | $10,000.00 |
Martin's Point Setting Professional Modifier None Typical Low $3,890.45 Median $3,981.07 Typical High $4,265.80 | Professional | None | $3,890.45 | $3,981.07 | $4,265.80 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1,949.84 Median $1,995.26 Typical High $1,995.26 | Professional | 52 · Reduced service | $1,949.84 | $1,995.26 | $1,995.26 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 53 · Discontinued | $794.33 | $794.33 | $794.33 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 55 · Aftercare only | $588.84 | $588.84 | $588.84 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $389.05 Median $398.11 Typical High $398.11 | Professional | 56 · Pre-op care only | $389.05 | $398.11 | $398.11 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3,162.28 Median $4,570.88 Typical High $4,570.88 | Facility | None | $3,162.28 | $4,570.88 | $4,570.88 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,715.35 | Professional | None | $3,162.28 | $3,162.28 | $3,715.35 |
United Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
United Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $5,248.07 | Professional | None | $3,801.89 | $3,801.89 | $5,248.07 |
Where Pennsylvania sits
The same service costs 11.0 times more in Alabama than in Oklahoma. 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· 20th of 51
$3,981
AL $23,442OK $2,138
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.