How much rates vary
Facilitymedian $1,660 · 10th to 90th $1,549 to $9,333Professionalmedian $1,148 · 10th to 90th $977 to $2,239
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 $977.24 Median $977.24 Typical High $1,071.52 | Facility | None | $977.24 | $977.24 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,071.52 Typical High $1,122.02 | Professional | None | $977.24 | $1,071.52 | $1,122.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $478.63 Median $537.03 Typical High $562.34 | Professional | 52 · Reduced service | $478.63 | $537.03 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $213.80 Typical High $229.09 | Professional | 53 · Discontinued | $194.98 | $213.80 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $162.18 Typical High $169.82 | Professional | 55 · Aftercare only | $144.54 | $162.18 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $107.15 Typical High $112.20 | Professional | 56 · Pre-op care only | $97.72 | $107.15 | $112.20 |
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 $1,778.28 Median $1,778.28 Typical High $1,905.46 | Professional | None | $1,778.28 | $1,778.28 | $1,905.46 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $2,137.96 Median $2,344.23 Typical High $2,344.23 | Professional | 50 · Both sides | $2,137.96 | $2,344.23 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $12,882.50 | Professional | None | $1,122.02 | $1,122.02 | $12,882.50 |
Emblem Health Setting Professional Modifier None Typical Low $2,238.72 Median $3,467.37 Typical High $4,073.80 | Professional | None | $2,238.72 | $3,467.37 | $4,073.80 |
Geisinger Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Geisinger Setting Professional Modifier None Typical Low $1,230.27 Median $1,445.44 Typical High $2,398.83 | Professional | None | $1,230.27 | $1,445.44 | $2,398.83 |
Martin's Point Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Martin's Point Setting Professional Modifier None Typical Low $977.24 Median $1,071.52 Typical High $1,122.02 | Professional | None | $977.24 | $1,071.52 | $1,122.02 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $478.63 Median $537.03 Typical High $562.34 | Professional | 52 · Reduced service | $478.63 | $537.03 | $562.34 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $213.80 Typical High $229.09 | Professional | 53 · Discontinued | $194.98 | $213.80 | $229.09 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $162.18 Typical High $169.82 | Professional | 55 · Aftercare only | $144.54 | $162.18 | $169.82 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $107.15 Typical High $112.20 | Professional | 56 · Pre-op care only | $97.72 | $107.15 | $112.20 |
Oscar Health Setting Professional Modifier None Typical Low $1,479.11 Median $3,388.44 Typical High $3,548.13 | Professional | None | $1,479.11 | $3,388.44 | $3,548.13 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,698.24 Median $7,585.78 Typical High $13,182.57 | Facility | None | $1,698.24 | $7,585.78 | $13,182.57 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,238.72 | Professional | None | $1,698.24 | $1,698.24 | $2,238.72 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $3,801.89 | Facility | None | $1,584.89 | $1,659.59 | $3,801.89 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,174.90 Typical High $1,949.84 | Professional | None | $977.24 | $1,174.90 | $1,949.84 |
Where Pennsylvania sits
The same service costs 3.1 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· 49th of 51
$1,175
HI $3,467DE $1,122
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.