How much rates vary
Facilitymedian $79,433 · 10th to 90th $56,234 to $295,121Professionalmedian $77,625 · 10th to 90th $75,858 to $77,625
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 $61,659.50 Median $77,624.71 Typical High $107,151.93 | Facility | None | $61,659.50 | $77,624.71 | $107,151.93 |
Aetna Setting Professional Modifier None Typical Low $77,624.71 Median $77,624.71 Typical High $77,624.71 | Professional | None | $77,624.71 | $77,624.71 | $77,624.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38,904.51 Median $38,904.51 Typical High $38,904.51 | Professional | 52 · Reduced service | $38,904.51 | $38,904.51 | $38,904.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15,488.17 Median $15,488.17 Typical High $15,488.17 | Professional | 53 · Discontinued | $15,488.17 | $15,488.17 | $15,488.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Professional | 55 · Aftercare only | $11,748.98 | $11,748.98 | $11,748.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | 56 · Pre-op care only | $7,762.47 | $7,762.47 | $7,762.47 |
Capital Blue Cross Setting Facility Modifier None Typical Low $5,011.87 Median $75,857.76 Typical High $87,096.36 | Facility | None | $5,011.87 | $75,857.76 | $87,096.36 |
Capital Blue Cross Setting Professional Modifier None Typical Low $56,234.13 Median $75,857.76 Typical High $75,857.76 | Professional | None | $56,234.13 | $75,857.76 | $75,857.76 |
Cigna Setting Facility Modifier None Typical Low $77,624.71 Median $128,824.96 Typical High $295,120.92 | Facility | None | $77,624.71 | $128,824.96 | $295,120.92 |
Cigna Setting Professional Modifier None Typical Low $77,624.71 Median $77,624.71 Typical High $77,624.71 | Professional | None | $77,624.71 | $77,624.71 | $77,624.71 |
Highmark BCBS Setting Facility Modifier None Typical Low $47,863.01 Median $56,234.13 Typical High $263,026.80 | Facility | None | $47,863.01 | $56,234.13 | $263,026.80 |
Martin's Point Setting Facility Modifier None Typical Low $61,659.50 Median $77,624.71 Typical High $107,151.93 | Facility | None | $61,659.50 | $77,624.71 | $107,151.93 |
Martin's Point Setting Professional Modifier None Typical Low $77,624.71 Median $77,624.71 Typical High $77,624.71 | Professional | None | $77,624.71 | $77,624.71 | $77,624.71 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $38,904.51 Median $38,904.51 Typical High $38,904.51 | Professional | 52 · Reduced service | $38,904.51 | $38,904.51 | $38,904.51 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $15,488.17 Median $15,488.17 Typical High $15,488.17 | Professional | 53 · Discontinued | $15,488.17 | $15,488.17 | $15,488.17 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Professional | 55 · Aftercare only | $11,748.98 | $11,748.98 | $11,748.98 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | 56 · Pre-op care only | $7,762.47 | $7,762.47 | $7,762.47 |
UPMC Health Plan Setting Facility Modifier None Typical Low $20,892.96 Median $28,840.32 Typical High $74,131.02 | Facility | None | $20,892.96 | $28,840.32 | $74,131.02 |
United Setting Professional Modifier None Typical Low $75,857.76 Median $75,857.76 Typical High $83,176.38 | Professional | None | $75,857.76 | $75,857.76 | $83,176.38 |
Where Pennsylvania sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 18th of 51
$77,625
AK $123,027NE $36,308
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.