How much rates vary
Facilitymedian $158 · 10th to 90th $30 to $4,266Professionalmedian $32 · 10th to 90th $21 to $51
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 $25.12 Median $31.62 Typical High $380.19 | Facility | None | $25.12 | $31.62 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $31.62 Typical High $38.02 | Professional | None | $25.12 | $31.62 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $12.59 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $5.01 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $19.05 Median $23.44 Typical High $23.99 | Professional | 54 · Surgery only | $19.05 | $23.44 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $4.68 Typical High $4.79 | Professional | 55 · Aftercare only | $3.80 | $4.68 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $3.16 Typical High $3.16 | Professional | 56 · Pre-op care only | $2.51 | $3.16 | $3.16 |
Ambetter Setting Professional Modifier None Typical Low $30.90 Median $85.11 Typical High $85.11 | Professional | None | $30.90 | $85.11 | $85.11 |
AmeriHealth Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $29.51 | Professional | None | $22.91 | $22.91 | $29.51 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Emblem Health Setting Professional Modifier None Typical Low $69.18 Median $75.86 Typical High $97.72 | Professional | None | $69.18 | $75.86 | $97.72 |
Geisinger Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Geisinger Setting Professional Modifier None Typical Low $31.62 Median $34.67 Typical High $60.26 | Professional | None | $31.62 | $34.67 | $60.26 |
Highmark BCBS Setting Facility Modifier None Typical Low $56.23 Median $346.74 Typical High $467.74 | Facility | None | $56.23 | $346.74 | $467.74 |
Highmark BCBS Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Independence Blue Cross Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $29.51 | Professional | None | $22.91 | $22.91 | $29.51 |
Martin's Point Setting Facility Modifier None Typical Low $25.12 Median $380.19 Typical High $380.19 | Facility | None | $25.12 | $380.19 | $380.19 |
Martin's Point Setting Professional Modifier None Typical Low $25.12 Median $31.62 Typical High $38.02 | Professional | None | $25.12 | $31.62 | $38.02 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $12.59 | $15.85 | $15.85 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $6.31 Typical High $6.31 | Professional | 53 · Discontinued | $5.01 | $6.31 | $6.31 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $19.05 Median $23.44 Typical High $23.44 | Professional | 54 · Surgery only | $19.05 | $23.44 | $23.44 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $4.68 Typical High $4.68 | Professional | 55 · Aftercare only | $3.80 | $4.68 | $4.68 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $3.16 Typical High $3.16 | Professional | 56 · Pre-op care only | $2.51 | $3.16 | $3.16 |
Oscar Health Setting Professional Modifier None Typical Low $52.48 Median $181.97 Typical High $181.97 | Professional | None | $52.48 | $181.97 | $181.97 |
UPMC Health Plan Setting Facility Modifier None Typical Low $30.20 Median $138.04 Typical High $234.42 | Facility | None | $30.20 | $138.04 | $234.42 |
UPMC Health Plan Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $48.98 | Professional | None | $30.20 | $30.20 | $48.98 |
United Setting Professional Modifier None Typical Low $21.88 Median $25.70 Typical High $35.48 | Professional | None | $21.88 | $25.70 | $35.48 |
Where Pennsylvania sits
The same service costs 2.6 times more in Hawaii than in New York. 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· 31st of 51
$31.62
HI $54.95NY $20.89
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.