How much rates vary
Facilitymedian $1,622 · 10th to 90th $1,479 to $10,471Professionalmedian $1,259 · 10th to 90th $1,096 to $2,512
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 $1,096.48 Median $1,096.48 Typical High $1,202.26 | Facility | None | $1,096.48 | $1,096.48 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,202.26 Typical High $1,258.93 | Professional | None | $1,096.48 | $1,202.26 | $1,258.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $602.56 Typical High $630.96 | Professional | 52 · Reduced service | $549.54 | $602.56 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $239.88 Typical High $257.04 | Professional | 53 · Discontinued | $218.78 | $239.88 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $181.97 Typical High $190.55 | Professional | 55 · Aftercare only | $162.18 | $181.97 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $120.23 Typical High $125.89 | Professional | 56 · Pre-op care only | $109.65 | $120.23 | $125.89 |
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 $1,995.26 Median $1,995.26 Typical High $2,137.96 | Professional | None | $1,995.26 | $1,995.26 | $2,137.96 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $2,398.83 Median $2,630.27 Typical High $2,630.27 | Professional | 50 · Both sides | $2,398.83 | $2,630.27 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $13,182.57 | Professional | None | $1,202.26 | $1,202.26 | $13,182.57 |
Emblem Health Setting Professional Modifier None Typical Low $2,290.87 Median $3,630.78 Typical High $4,168.69 | Professional | None | $2,290.87 | $3,630.78 | $4,168.69 |
Geisinger Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Geisinger Setting Professional Modifier None Typical Low $1,380.38 Median $1,621.81 Typical High $2,691.53 | Professional | None | $1,380.38 | $1,621.81 | $2,691.53 |
Martin's Point Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Martin's Point Setting Professional Modifier None Typical Low $1,096.48 Median $1,202.26 Typical High $1,258.93 | Professional | None | $1,096.48 | $1,202.26 | $1,258.93 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $602.56 Typical High $630.96 | Professional | 52 · Reduced service | $549.54 | $602.56 | $630.96 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $239.88 Typical High $257.04 | Professional | 53 · Discontinued | $218.78 | $239.88 | $257.04 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $181.97 Typical High $190.55 | Professional | 55 · Aftercare only | $162.18 | $181.97 | $190.55 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $120.23 Typical High $125.89 | Professional | 56 · Pre-op care only | $109.65 | $120.23 | $125.89 |
Oscar Health Setting Professional Modifier None Typical Low $1,513.56 Median $3,467.37 Typical High $3,715.35 | Professional | None | $1,513.56 | $3,467.37 | $3,715.35 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,905.46 Median $8,511.38 Typical High $14,791.08 | Facility | None | $1,905.46 | $8,511.38 | $14,791.08 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,511.89 | Professional | None | $1,905.46 | $1,905.46 | $2,511.89 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,513.56 Typical High $3,981.07 | Facility | None | $1,479.11 | $1,513.56 | $3,981.07 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $2,187.76 | Professional | None | $1,023.29 | $1,318.26 | $2,187.76 |
Where Pennsylvania sits
The same service costs 2.7 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· 45th of 51
$1,318
HI $3,236DE $1,202
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.