How much rates vary
Facilitymedian $457 · 10th to 90th $407 to $4,074Professionalmedian $372 · 10th to 90th $295 to $724
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 $316.23 Median $316.23 Typical High $346.74 | Facility | None | $316.23 | $316.23 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $346.74 Typical High $371.54 | Professional | None | $316.23 | $346.74 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $173.78 Typical High $186.21 | Professional | 52 · Reduced service | $158.49 | $173.78 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $70.79 Typical High $74.13 | Professional | 53 · Discontinued | $63.10 | $70.79 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $52.48 Typical High $54.95 | Professional | 55 · Aftercare only | $47.86 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $34.67 Typical High $37.15 | Professional | 56 · Pre-op care only | $31.62 | $34.67 | $37.15 |
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 $588.84 Median $588.84 Typical High $630.96 | Professional | None | $588.84 | $588.84 | $630.96 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $691.83 Median $776.25 Typical High $776.25 | Professional | 50 · Both sides | $691.83 | $776.25 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $3,715.35 | Professional | None | $295.12 | $295.12 | $3,715.35 |
Emblem Health Setting Professional Modifier None Typical Low $812.83 Median $1,288.25 Typical High $1,479.11 | Professional | None | $812.83 | $1,288.25 | $1,479.11 |
Geisinger Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Geisinger Setting Professional Modifier None Typical Low $407.38 Median $467.74 Typical High $776.25 | Professional | None | $407.38 | $467.74 | $776.25 |
Martin's Point Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Martin's Point Setting Professional Modifier None Typical Low $316.23 Median $346.74 Typical High $371.54 | Professional | None | $316.23 | $346.74 | $371.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $173.78 Typical High $186.21 | Professional | 52 · Reduced service | $158.49 | $173.78 | $186.21 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $70.79 Typical High $74.13 | Professional | 53 · Discontinued | $63.10 | $70.79 | $74.13 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $52.48 Typical High $54.95 | Professional | 55 · Aftercare only | $47.86 | $52.48 | $54.95 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $34.67 Typical High $37.15 | Professional | 56 · Pre-op care only | $31.62 | $34.67 | $37.15 |
Oscar Health Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $1,230.27 | Professional | None | $288.40 | $288.40 | $1,230.27 |
UPMC Health Plan Setting Facility Modifier None Typical Low $501.19 Median $2,511.89 Typical High $4,265.80 | Facility | None | $501.19 | $2,511.89 | $4,265.80 |
UPMC Health Plan Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $724.44 | Professional | None | $501.19 | $501.19 | $724.44 |
United Setting Facility Modifier None Typical Low $436.52 Median $891.25 Typical High $1,071.52 | Facility | None | $436.52 | $891.25 | $1,071.52 |
United Setting Professional Modifier None Typical Low $295.12 Median $380.19 Typical High $602.56 | Professional | None | $295.12 | $380.19 | $602.56 |
Where Pennsylvania sits
The same service costs 3.5 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· 44th of 51
$380
HI $1,122DE $316
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.