How much rates vary
Facilitymedian $562 · 10th to 90th $501 to $4,571Professionalmedian $427 · 10th to 90th $363 to $851
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 $363.08 Median $363.08 Typical High $407.38 | Facility | None | $363.08 | $363.08 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $407.38 Typical High $426.58 | Professional | None | $363.08 | $407.38 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $199.53 Typical High $213.80 | Professional | 52 · Reduced service | $181.97 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $81.28 Typical High $85.11 | Professional | 53 · Discontinued | $72.44 | $81.28 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $60.26 Typical High $64.57 | Professional | 55 · Aftercare only | $54.95 | $60.26 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $40.74 Typical High $42.66 | Professional | 56 · Pre-op care only | $36.31 | $40.74 | $42.66 |
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 $676.08 Median $676.08 Typical High $724.44 | Professional | None | $676.08 | $676.08 | $724.44 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $794.33 Median $891.25 Typical High $891.25 | Professional | 50 · Both sides | $794.33 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $4,570.88 | Professional | None | $363.08 | $363.08 | $4,570.88 |
Emblem Health Setting Professional Modifier None Typical Low $891.25 Median $1,412.54 Typical High $1,659.59 | Professional | None | $891.25 | $1,412.54 | $1,659.59 |
Geisinger Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Geisinger Setting Professional Modifier None Typical Low $467.74 Median $537.03 Typical High $912.01 | Professional | None | $467.74 | $537.03 | $912.01 |
Martin's Point Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Martin's Point Setting Professional Modifier None Typical Low $363.08 Median $407.38 Typical High $426.58 | Professional | None | $363.08 | $407.38 | $426.58 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $199.53 Typical High $213.80 | Professional | 52 · Reduced service | $181.97 | $199.53 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $81.28 Typical High $85.11 | Professional | 53 · Discontinued | $72.44 | $81.28 | $85.11 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $60.26 Typical High $64.57 | Professional | 55 · Aftercare only | $54.95 | $60.26 | $64.57 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $40.74 Typical High $42.66 | Professional | 56 · Pre-op care only | $36.31 | $40.74 | $42.66 |
Oscar Health Setting Professional Modifier None Typical Low $588.84 Median $870.96 Typical High $1,380.38 | Professional | None | $588.84 | $870.96 | $1,380.38 |
UPMC Health Plan Setting Facility Modifier None Typical Low $616.60 Median $2,884.03 Typical High $4,897.79 | Facility | None | $616.60 | $2,884.03 | $4,897.79 |
UPMC Health Plan Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $851.14 | Professional | None | $616.60 | $616.60 | $851.14 |
United Setting Facility Modifier None Typical Low $537.03 Median $562.34 Typical High $1,318.26 | Facility | None | $537.03 | $562.34 | $1,318.26 |
United Setting Professional Modifier None Typical Low $346.74 Median $446.68 Typical High $741.31 | Professional | None | $346.74 | $446.68 | $741.31 |
Where Pennsylvania sits
The same service costs 3.9 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
$447
HI $1,413DE $363
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.