How much rates vary
Facilitymedian $3,548 · 10th to 90th $6 to $13,490Professionalmedian $3,548 · 10th to 90th $6 to $3,548
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 $3,548.13 Median $3,548.13 Typical High $5,128.61 | Facility | None | $3,548.13 | $3,548.13 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $3,467.37 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,467.37 | $3,548.13 | $3,548.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,737.80 Median $1,778.28 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,737.80 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $691.83 Median $707.95 Typical High $707.95 | Professional | 53 · Discontinued | $691.83 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $524.81 Median $537.03 Typical High $537.03 | Professional | 55 · Aftercare only | $524.81 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $346.74 Median $354.81 Typical High $354.81 | Professional | 56 · Pre-op care only | $346.74 | $354.81 | $354.81 |
Capital Blue Cross Setting Facility Modifier None Typical Low $5.62 Median $6.31 Typical High $5,011.87 | Facility | None | $5.62 | $6.31 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $5.75 Median $6.31 Typical High $6.31 | Professional | None | $5.75 | $6.31 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $6,025.60 Typical High $13,803.84 | Facility | None | $3,548.13 | $6,025.60 | $13,803.84 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Emblem Health Setting Professional Modifier None Typical Low $851.14 Median $1,000.00 Typical High $1,000.00 | Professional | None | $851.14 | $1,000.00 | $1,000.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $3,162.28 Typical High $7,585.78 | Facility | None | $2,951.21 | $3,162.28 | $7,585.78 |
Highmark BCBS Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,467.37 | $3,467.37 | $3,467.37 |
Martin's Point Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $5,128.61 | Facility | None | $3,548.13 | $3,548.13 | $5,128.61 |
Martin's Point Setting Professional Modifier None Typical Low $3,467.37 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,467.37 | $3,548.13 | $3,548.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,778.28 | $1,778.28 | $1,778.28 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 53 · Discontinued | $707.95 | $707.95 | $707.95 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 55 · Aftercare only | $537.03 | $537.03 | $537.03 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 56 · Pre-op care only | $354.81 | $354.81 | $354.81 |
Oscar Health Setting Professional Modifier None Typical Low $5,370.32 Median $6,165.95 Typical High $7,244.36 | Professional | None | $5,370.32 | $6,165.95 | $7,244.36 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3,388.44 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,388.44 | $3,715.35 | $3,715.35 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3,388.44 Median $3,715.35 Typical High $3,715.35 | Professional | None | $3,388.44 | $3,715.35 | $3,715.35 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
United Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,168.69 | Professional | None | $3,467.37 | $3,467.37 | $4,168.69 |
Where Pennsylvania sits
The same service costs 1.6 times more in North Carolina 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· 13th of 51
$3,548
NC $5,370NE $3,388
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.