How much rates vary
Facilitymedian $2,951 · 10th to 90th $2,570 to $9,333Professionalmedian $2,570 · 10th to 90th $2,344 to $2,630
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 $2,570.40 Median $3,235.94 Typical High $6,456.54 | Facility | None | $2,570.40 | $3,235.94 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,258.93 Median $1,258.93 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,258.93 | $1,258.93 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 53 · Discontinued | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $1,905.46 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,905.46 | $1,905.46 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $380.19 Typical High $389.05 | Professional | 55 · Aftercare only | $380.19 | $380.19 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 56 · Pre-op care only | $257.04 | $257.04 | $257.04 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,454.71 Median $2,754.23 Typical High $5,011.87 | Facility | None | $2,454.71 | $2,754.23 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $2,398.83 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,398.83 | $2,630.27 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $4,265.80 Typical High $9,772.37 | Facility | None | $2,570.40 | $4,265.80 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Emblem Health Setting Professional Modifier None Typical Low $2,454.71 Median $2,511.89 Typical High $3,715.35 | Professional | None | $2,454.71 | $2,511.89 | $3,715.35 |
Geisinger Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Geisinger Setting Professional Modifier None Typical Low $1,737.80 Median $2,691.53 Typical High $4,265.80 | Professional | None | $1,737.80 | $2,691.53 | $4,265.80 |
Martin's Point Setting Facility Modifier None Typical Low $2,570.40 Median $3,715.35 Typical High $6,456.54 | Facility | None | $2,570.40 | $3,715.35 | $6,456.54 |
Martin's Point Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1,258.93 Median $1,258.93 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,258.93 | $1,258.93 | $1,288.25 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 53 · Discontinued | $512.86 | $512.86 | $512.86 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $1,905.46 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,905.46 | $1,905.46 | $1,949.84 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $380.19 Typical High $389.05 | Professional | 55 · Aftercare only | $380.19 | $380.19 | $389.05 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 56 · Pre-op care only | $257.04 | $257.04 | $257.04 |
Oscar Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $4,786.30 | Professional | None | $30.20 | $30.20 | $4,786.30 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2,238.72 Median $2,951.21 Typical High $3,090.30 | Facility | None | $2,238.72 | $2,951.21 | $3,090.30 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2,238.72 Median $2,290.87 Typical High $2,630.27 | Professional | None | $2,238.72 | $2,290.87 | $2,630.27 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
United Setting Professional Modifier None Typical Low $2,344.23 Median $2,570.40 Typical High $2,754.23 | Professional | None | $2,344.23 | $2,570.40 | $2,754.23 |
Where Pennsylvania sits
Rates are fairly even across states for this service. 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· 50th of 51
$2,570
AK $3,020KS $2,570
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.