How much rates vary
Facilitymedian $1,445 · 10th to 90th $1,259 to $4,571Professionalmedian $1,259 · 10th to 90th $1,202 to $1,413
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 $1,258.93 Median $2,398.83 Typical High $3,467.37 | Facility | None | $1,258.93 | $2,398.83 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $616.60 Median $616.60 Typical High $630.96 | Professional | 52 · Reduced service | $616.60 | $616.60 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 53 · Discontinued | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $190.55 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $125.89 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $5,011.87 | Facility | None | $1,202.26 | $1,348.96 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1,174.90 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,174.90 | $1,288.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $2,089.30 Typical High $4,786.30 | Facility | None | $1,258.93 | $2,089.30 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Emblem Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,819.70 | Professional | None | $1,288.25 | $1,288.25 | $1,819.70 |
Geisinger Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Geisinger Setting Professional Modifier None Typical Low $501.19 Median $1,318.26 Typical High $2,187.76 | Professional | None | $501.19 | $1,318.26 | $2,187.76 |
Martin's Point Setting Facility Modifier None Typical Low $1,258.93 Median $2,691.53 Typical High $3,467.37 | Facility | None | $1,258.93 | $2,691.53 | $3,467.37 |
Martin's Point Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $616.60 Median $616.60 Typical High $630.96 | Professional | 52 · Reduced service | $616.60 | $616.60 | $630.96 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 53 · Discontinued | $251.19 | $251.19 | $251.19 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $190.55 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $190.55 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $125.89 |
Oscar Health Setting Professional Modifier None Typical Low $1,479.11 Median $2,290.87 Typical High $2,290.87 | Professional | None | $1,479.11 | $2,290.87 | $2,290.87 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,659.59 | Facility | None | $1,445.44 | $1,445.44 | $1,659.59 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,659.59 | Professional | None | $1,445.44 | $1,445.44 | $1,659.59 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,348.96 Typical High $1,548.82 | Professional | None | $1,174.90 | $1,348.96 | $1,548.82 |
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· 44th of 51
$1,259
AK $1,698FL $1,259
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.