How much rates vary
Facilitymedian $1,202 · 10th to 90th $1,000 to $5,888Professionalmedian $832 · 10th to 90th $617 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 $616.60 Median $616.60 Typical High $676.08 | Facility | None | $616.60 | $616.60 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $676.08 Typical High $707.95 | Professional | None | $616.60 | $676.08 | $707.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $302.00 Median $338.84 Typical High $354.81 | Professional | 52 · Reduced service | $302.00 | $338.84 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $134.90 Typical High $144.54 | Professional | 53 · Discontinued | $123.03 | $134.90 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $102.33 Typical High $107.15 | Professional | 55 · Aftercare only | $91.20 | $102.33 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $67.61 Typical High $70.79 | Professional | 56 · Pre-op care only | $61.66 | $67.61 | $70.79 |
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 $1,122.02 Median $1,122.02 Typical High $1,202.26 | Professional | None | $1,122.02 | $1,122.02 | $1,202.26 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $1,348.96 Median $1,479.11 Typical High $1,479.11 | Professional | 50 · Both sides | $1,348.96 | $1,479.11 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $8,317.64 | Professional | None | $831.76 | $831.76 | $8,317.64 |
Emblem Health Setting Professional Modifier None Typical Low $1,380.38 Median $2,187.76 Typical High $2,570.40 | Professional | None | $1,380.38 | $2,187.76 | $2,570.40 |
Geisinger Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Geisinger Setting Professional Modifier None Typical Low $776.25 Median $912.01 Typical High $1,513.56 | Professional | None | $776.25 | $912.01 | $1,513.56 |
Martin's Point Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Martin's Point Setting Professional Modifier None Typical Low $616.60 Median $676.08 Typical High $707.95 | Professional | None | $616.60 | $676.08 | $707.95 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $302.00 Median $338.84 Typical High $354.81 | Professional | 52 · Reduced service | $302.00 | $338.84 | $354.81 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $134.90 Typical High $144.54 | Professional | 53 · Discontinued | $123.03 | $134.90 | $144.54 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $102.33 Typical High $107.15 | Professional | 55 · Aftercare only | $91.20 | $102.33 | $107.15 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $67.61 Typical High $70.79 | Professional | 56 · Pre-op care only | $61.66 | $67.61 | $70.79 |
Oscar Health Setting Professional Modifier None Typical Low $912.01 Median $1,548.82 Typical High $2,238.72 | Professional | None | $912.01 | $1,548.82 | $2,238.72 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,071.52 Median $4,786.30 Typical High $8,317.64 | Facility | None | $1,071.52 | $4,786.30 | $8,317.64 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,412.54 | Professional | None | $1,071.52 | $1,071.52 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $2,398.83 | Facility | None | $1,000.00 | $1,258.93 | $2,398.83 |
United Setting Professional Modifier None Typical Low $616.60 Median $741.31 Typical High $1,230.27 | Professional | None | $616.60 | $741.31 | $1,230.27 |
Where Pennsylvania sits
The same service costs 3.9 times more in Hawaii than in West Virginia. 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· 48th of 51
$832
HI $3,236WV $832
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.