How much rates vary
Facilitymedian $1,380 · 10th to 90th $1,000 to $8,128Professionalmedian $1,023 · 10th to 90th $832 to $1,905
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 $831.76 Median $831.76 Typical High $912.01 | Facility | None | $831.76 | $831.76 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $977.24 | Professional | None | $831.76 | $912.01 | $977.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $416.87 Median $457.09 Typical High $489.78 | Professional | 52 · Reduced service | $416.87 | $457.09 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $186.21 Typical High $194.98 | Professional | 53 · Discontinued | $165.96 | $186.21 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $138.04 Typical High $144.54 | Professional | 55 · Aftercare only | $125.89 | $138.04 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $91.20 Typical High $97.72 | Professional | 56 · Pre-op care only | $83.18 | $91.20 | $97.72 |
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 $1,548.82 Median $1,548.82 Typical High $1,659.59 | Professional | None | $1,548.82 | $1,548.82 | $1,659.59 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $1,819.70 Median $2,041.74 Typical High $2,041.74 | Professional | 50 · Both sides | $1,819.70 | $2,041.74 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $9,772.37 | Professional | None | $1,023.29 | $1,023.29 | $9,772.37 |
Emblem Health Setting Professional Modifier None Typical Low $1,737.80 Median $2,691.53 Typical High $3,162.28 | Professional | None | $1,737.80 | $2,691.53 | $3,162.28 |
Geisinger Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Geisinger Setting Professional Modifier None Typical Low $1,071.52 Median $1,230.27 Typical High $2,041.74 | Professional | None | $1,071.52 | $1,230.27 | $2,041.74 |
Martin's Point Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Martin's Point Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $977.24 | Professional | None | $831.76 | $912.01 | $977.24 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $416.87 Median $457.09 Typical High $489.78 | Professional | 52 · Reduced service | $416.87 | $457.09 | $489.78 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $186.21 Typical High $194.98 | Professional | 53 · Discontinued | $165.96 | $186.21 | $194.98 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $138.04 Typical High $144.54 | Professional | 55 · Aftercare only | $125.89 | $138.04 | $144.54 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $91.20 Typical High $97.72 | Professional | 56 · Pre-op care only | $83.18 | $91.20 | $97.72 |
Oscar Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $2,754.23 | Professional | None | $1,148.15 | $1,905.46 | $2,754.23 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,445.44 Median $6,606.93 Typical High $11,220.18 | Facility | None | $1,445.44 | $6,606.93 | $11,220.18 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,905.46 | Professional | None | $1,445.44 | $1,445.44 | $1,905.46 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $2,884.03 | Facility | None | $1,000.00 | $1,174.90 | $2,884.03 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,000.00 Typical High $1,659.59 | Professional | None | $794.33 | $1,000.00 | $1,659.59 |
Where Pennsylvania sits
The same service costs 2.7 times more in Hawaii than in Florida. 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· 44th of 51
$1,023
HI $2,630FL $977
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.