How much rates vary
Facilitymedian $1,862 · 10th to 90th $95 to $8,511Professionalmedian $457 · 10th to 90th $87 to $794
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 $537.03 Median $2,818.38 Typical High $8,511.38 | Facility | None | $537.03 | $2,818.38 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $151.36 Typical High $794.33 | Professional | None | $85.11 | $151.36 | $794.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $74.13 Typical High $398.11 | Professional | 52 · Reduced service | $42.66 | $74.13 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $30.20 Typical High $158.49 | Professional | 53 · Discontinued | $17.38 | $30.20 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $112.20 Typical High $588.84 | Professional | 54 · Surgery only | $64.57 | $112.20 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $22.39 Typical High $120.23 | Professional | 55 · Aftercare only | $12.88 | $22.39 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $15.14 Typical High $79.43 | Professional | 56 · Pre-op care only | $8.51 | $15.14 | $79.43 |
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 $426.58 Median $630.96 Typical High $1,071.52 | Professional | None | $426.58 | $630.96 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $181.97 Typical High $1,122.02 | Professional | None | $83.18 | $181.97 | $1,122.02 |
Emblem Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $1,258.93 | Professional | None | $1,000.00 | $1,230.27 | $1,258.93 |
Geisinger Setting Professional Modifier None Typical Low $141.25 Median $660.69 Typical High $1,174.90 | Professional | None | $141.25 | $660.69 | $1,174.90 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $3,630.78 Typical High $8,709.64 | Facility | None | $537.03 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $85.11 Median $151.36 Typical High $794.33 | Professional | None | $85.11 | $151.36 | $794.33 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $63.10 Typical High $398.11 | Professional | 52 · Reduced service | $42.66 | $63.10 | $398.11 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $30.20 Typical High $158.49 | Professional | 53 · Discontinued | $17.38 | $30.20 | $158.49 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $95.50 Typical High $588.84 | Professional | 54 · Surgery only | $64.57 | $95.50 | $588.84 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $19.05 Typical High $120.23 | Professional | 55 · Aftercare only | $12.88 | $19.05 | $120.23 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $15.14 Typical High $79.43 | Professional | 56 · Pre-op care only | $8.51 | $15.14 | $79.43 |
Oscar Health Setting Professional Modifier None Typical Low $199.53 Median $389.05 Typical High $831.76 | Professional | None | $199.53 | $389.05 | $831.76 |
UPMC Health Plan Setting Facility Modifier None Typical Low $89.13 Median $194.98 Typical High $660.69 | Facility | None | $89.13 | $194.98 | $660.69 |
UPMC Health Plan Setting Professional Modifier None Typical Low $89.13 Median $194.98 Typical High $660.69 | Professional | None | $89.13 | $194.98 | $660.69 |
United Setting Facility Modifier None Typical Low $676.08 Median $2,290.87 Typical High $6,760.83 | Facility | None | $676.08 | $2,290.87 | $6,760.83 |
United Setting Professional Modifier None Typical Low $83.18 Median $177.83 Typical High $776.25 | Professional | None | $83.18 | $177.83 | $776.25 |
Where Pennsylvania sits
The same service costs 9.5 times more in Washington than in Washington, DC. 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· 9th of 51
$468
WA $933DC $97.72
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.