How much rates vary
Facilitymedian $1,318 · 10th to 90th $1,259 to $8,318Professionalmedian $1,000 · 10th to 90th $851 to $1,995
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 $851.14 Median $851.14 Typical High $954.99 | Facility | None | $851.14 | $851.14 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $1,000.00 | Professional | None | $851.14 | $954.99 | $1,000.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $467.74 Typical High $501.19 | Professional | 52 · Reduced service | $426.58 | $467.74 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $190.55 Typical High $199.53 | Professional | 53 · Discontinued | $169.82 | $190.55 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $141.25 Typical High $151.36 | Professional | 55 · Aftercare only | $128.82 | $141.25 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $95.50 Typical High $100.00 | Professional | 56 · Pre-op care only | $85.11 | $95.50 | $100.00 |
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 $1,584.89 Median $1,584.89 Typical High $1,698.24 | Professional | None | $1,584.89 | $1,584.89 | $1,698.24 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $1,862.09 Median $2,089.30 Typical High $2,089.30 | Professional | 50 · Both sides | $1,862.09 | $2,089.30 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $10,715.19 | Professional | None | $933.25 | $933.25 | $10,715.19 |
Emblem Health Setting Professional Modifier None Typical Low $2,344.23 Median $3,715.35 Typical High $4,265.80 | Professional | None | $2,344.23 | $3,715.35 | $4,265.80 |
Geisinger Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Geisinger Setting Professional Modifier None Typical Low $1,096.48 Median $1,258.93 Typical High $2,137.96 | Professional | None | $1,096.48 | $1,258.93 | $2,137.96 |
Highmark BCBS Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Highmark BCBS Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,698.24 | Professional | None | $1,659.59 | $1,659.59 | $1,698.24 |
Martin's Point Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Martin's Point Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $1,000.00 | Professional | None | $851.14 | $954.99 | $1,000.00 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $467.74 Typical High $501.19 | Professional | 52 · Reduced service | $426.58 | $467.74 | $501.19 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $190.55 Typical High $199.53 | Professional | 53 · Discontinued | $169.82 | $190.55 | $199.53 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $141.25 Typical High $151.36 | Professional | 55 · Aftercare only | $128.82 | $141.25 | $151.36 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $95.50 Typical High $100.00 | Professional | 56 · Pre-op care only | $85.11 | $95.50 | $100.00 |
Oscar Health Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $3,548.13 | Professional | None | $1,548.82 | $1,548.82 | $3,548.13 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,479.11 Median $6,760.83 Typical High $11,481.54 | Facility | None | $1,479.11 | $6,760.83 | $11,481.54 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,479.11 | $1,479.11 | $1,995.26 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $1,318.26 Typical High $3,090.30 | Facility | None | $1,258.93 | $1,318.26 | $3,090.30 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,047.13 Typical High $1,737.80 | Professional | None | $812.83 | $1,047.13 | $1,737.80 |
Where Pennsylvania sits
The same service costs 3.2 times more in Hawaii than in Alabama. 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· 46th of 51
$1,047
HI $3,020AL $933
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.