How much rates vary
Facilitymedian $1,175 · 10th to 90th $933 to $7,079Professionalmedian $933 · 10th to 90th $676 to $1,660
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 $676.08 Median $676.08 Typical High $741.31 | Facility | None | $676.08 | $676.08 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $741.31 Typical High $794.33 | Professional | None | $676.08 | $741.31 | $794.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $371.54 Typical High $398.11 | Professional | 52 · Reduced service | $338.84 | $371.54 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $151.36 Typical High $158.49 | Professional | 53 · Discontinued | $134.90 | $151.36 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $112.20 Typical High $120.23 | Professional | 55 · Aftercare only | $102.33 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $74.13 Typical High $79.43 | Professional | 56 · Pre-op care only | $67.61 | $74.13 | $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 $1,318.26 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,318.26 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $8,317.64 | Professional | None | $691.83 | $691.83 | $8,317.64 |
Emblem Health Setting Professional Modifier None Typical Low $1,548.82 Median $2,454.71 Typical High $2,818.38 | Professional | None | $1,548.82 | $2,454.71 | $2,818.38 |
Geisinger Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Geisinger Setting Professional Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $1,698.24 | Professional | None | $1,000.00 | $1,174.90 | $1,698.24 |
Martin's Point Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Martin's Point Setting Professional Modifier None Typical Low $676.08 Median $741.31 Typical High $794.33 | Professional | None | $676.08 | $741.31 | $794.33 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $371.54 Typical High $398.11 | Professional | 52 · Reduced service | $338.84 | $371.54 | $398.11 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $151.36 Typical High $158.49 | Professional | 53 · Discontinued | $134.90 | $151.36 | $158.49 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $112.20 Typical High $120.23 | Professional | 55 · Aftercare only | $102.33 | $112.20 | $120.23 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $74.13 Typical High $79.43 | Professional | 56 · Pre-op care only | $67.61 | $74.13 | $79.43 |
Oscar Health Setting Professional Modifier None Typical Low $1,659.59 Median $2,344.23 Typical High $2,511.89 | Professional | None | $1,659.59 | $2,344.23 | $2,511.89 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,174.90 Median $5,370.32 Typical High $9,120.11 | Facility | None | $1,174.90 | $5,370.32 | $9,120.11 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,548.82 | Professional | None | $1,174.90 | $1,174.90 | $1,548.82 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,454.71 | Facility | None | $2,041.74 | $2,041.74 | $2,454.71 |
United Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $1,258.93 | Professional | None | $645.65 | $812.83 | $1,258.93 |
Where Pennsylvania sits
The same service costs 2.6 times more in Hawaii than in Delaware. 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· 30th of 51
$933
HI $1,778DE $692
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.