How much rates vary
Facilitymedian $891 · 10th to 90th $832 to $5,754Professionalmedian $692 · 10th to 90th $603 to $1,380
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 $602.56 Median $602.56 Typical High $660.69 | Facility | None | $602.56 | $602.56 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $691.83 | Professional | None | $602.56 | $660.69 | $691.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $331.13 Typical High $346.74 | Professional | 52 · Reduced service | $295.12 | $331.13 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $131.83 Typical High $138.04 | Professional | 53 · Discontinued | $120.23 | $131.83 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $100.00 Typical High $104.71 | Professional | 55 · Aftercare only | $89.13 | $100.00 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $66.07 Typical High $69.18 | Professional | 56 · Pre-op care only | $60.26 | $66.07 | $69.18 |
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 $1,096.48 Median $1,096.48 Typical High $1,174.90 | Professional | None | $1,096.48 | $1,096.48 | $1,174.90 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $1,318.26 Median $1,445.44 Typical High $1,445.44 | Professional | 50 · Both sides | $1,318.26 | $1,445.44 | $1,445.44 |
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 $602.56 Median $602.56 Typical High $7,413.10 | Professional | None | $602.56 | $602.56 | $7,413.10 |
Emblem Health Setting Professional Modifier None Typical Low $1,659.59 Median $2,630.27 Typical High $3,019.95 | Professional | None | $1,659.59 | $2,630.27 | $3,019.95 |
Geisinger Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Geisinger Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $1,479.11 | Professional | None | $758.58 | $891.25 | $1,479.11 |
Martin's Point Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Martin's Point Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $691.83 | Professional | None | $602.56 | $660.69 | $691.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $331.13 Typical High $346.74 | Professional | 52 · Reduced service | $295.12 | $331.13 | $346.74 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $131.83 Typical High $138.04 | Professional | 53 · Discontinued | $120.23 | $131.83 | $138.04 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $100.00 Typical High $104.71 | Professional | 55 · Aftercare only | $89.13 | $100.00 | $104.71 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $66.07 Typical High $69.18 | Professional | 56 · Pre-op care only | $60.26 | $66.07 | $69.18 |
Oscar Health Setting Professional Modifier None Typical Low $1,096.48 Median $2,511.89 Typical High $2,691.53 | Professional | None | $1,096.48 | $2,511.89 | $2,691.53 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,047.13 Median $4,677.35 Typical High $8,128.31 | Facility | None | $1,047.13 | $4,677.35 | $8,128.31 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,380.38 | Professional | None | $1,047.13 | $1,047.13 | $1,380.38 |
United Setting Facility Modifier None Typical Low $870.96 Median $891.25 Typical High $2,187.76 | Facility | None | $870.96 | $891.25 | $2,187.76 |
United Setting Professional Modifier None Typical Low $562.34 Median $724.44 Typical High $1,202.26 | Professional | None | $562.34 | $724.44 | $1,202.26 |
Where Pennsylvania sits
The same service costs 4.4 times more in Hawaii than in Kansas. 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
$724
HI $2,239KS $513
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.