How much rates vary
Facilitymedian $832 · 10th to 90th $631 to $5,370Professionalmedian $661 · 10th to 90th $550 to $1,288
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 $549.54 Median $549.54 Typical High $616.60 | Facility | None | $549.54 | $549.54 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $616.60 Typical High $758.58 | Professional | None | $549.54 | $616.60 | $758.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $309.03 Typical High $323.59 | Professional | 52 · Reduced service | $275.42 | $309.03 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $123.03 Typical High $128.82 | Professional | 53 · Discontinued | $109.65 | $123.03 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $91.20 Typical High $97.72 | Professional | 55 · Aftercare only | $83.18 | $91.20 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $61.66 Typical High $64.57 | Professional | 56 · Pre-op care only | $54.95 | $61.66 | $64.57 |
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 $1,023.29 Median $1,023.29 Typical High $1,096.48 | Professional | None | $1,023.29 | $1,023.29 | $1,096.48 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $1,202.26 Median $1,348.96 Typical High $1,348.96 | Professional | 50 · Both sides | $1,202.26 | $1,348.96 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $6,918.31 | Professional | None | $616.60 | $616.60 | $6,918.31 |
Emblem Health Setting Professional Modifier None Typical Low $1,412.54 Median $2,238.72 Typical High $2,630.27 | Professional | None | $1,412.54 | $2,238.72 | $2,630.27 |
Geisinger 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 |
Geisinger Setting Professional Modifier None Typical Low $691.83 Median $812.83 Typical High $1,380.38 | Professional | None | $691.83 | $812.83 | $1,380.38 |
Highmark BCBS Setting Professional Modifier None Typical Low $933.25 Median $1,071.52 Typical High $1,122.02 | Professional | None | $933.25 | $1,071.52 | $1,122.02 |
Martin's Point Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Martin's Point Setting Professional Modifier None Typical Low $549.54 Median $616.60 Typical High $758.58 | Professional | None | $549.54 | $616.60 | $758.58 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $309.03 Typical High $323.59 | Professional | 52 · Reduced service | $275.42 | $309.03 | $323.59 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $123.03 Typical High $128.82 | Professional | 53 · Discontinued | $109.65 | $123.03 | $128.82 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $91.20 Typical High $97.72 | Professional | 55 · Aftercare only | $83.18 | $91.20 | $97.72 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $61.66 Typical High $64.57 | Professional | 56 · Pre-op care only | $54.95 | $61.66 | $64.57 |
Oscar Health Setting Professional Modifier None Typical Low $588.84 Median $954.99 Typical High $2,187.76 | Professional | None | $588.84 | $954.99 | $2,187.76 |
UPMC Health Plan Setting Facility Modifier None Typical Low $851.14 Median $4,365.16 Typical High $7,413.10 | Facility | None | $851.14 | $4,365.16 | $7,413.10 |
UPMC Health Plan Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,288.25 | Professional | None | $851.14 | $851.14 | $1,288.25 |
United Setting Facility Modifier None Typical Low $630.96 Median $794.33 Typical High $2,041.74 | Facility | None | $630.96 | $794.33 | $2,041.74 |
United Setting Professional Modifier None Typical Low $524.81 Median $676.08 Typical High $1,096.48 | Professional | None | $524.81 | $676.08 | $1,096.48 |
Where Pennsylvania sits
The same service costs 3.2 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
$676
HI $1,950DE $617
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.