How much rates vary
Facilitymedian $891 · 10th to 90th $851 to $5,888Professionalmedian $708 · 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 $707.95 | Professional | None | $602.56 | $660.69 | $707.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $302.00 Median $331.13 Typical High $354.81 | Professional | 52 · Reduced service | $302.00 | $331.13 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $131.83 Typical High $141.25 | Professional | 53 · Discontinued | $120.23 | $131.83 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $100.00 Typical High $104.71 | Professional | 55 · Aftercare only | $91.20 | $100.00 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $66.07 Typical High $70.79 | Professional | 56 · Pre-op care only | $60.26 | $66.07 | $70.79 |
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 $1,122.02 Median $1,122.02 Typical High $1,202.26 | Professional | None | $1,122.02 | $1,122.02 | $1,202.26 |
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 $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $7,762.47 | Professional | None | $645.65 | $645.65 | $7,762.47 |
Emblem Health Setting Professional Modifier None Typical Low $1,479.11 Median $2,344.23 Typical High $2,691.53 | Professional | None | $1,479.11 | $2,344.23 | $2,691.53 |
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 $776.25 Median $891.25 Typical High $1,479.11 | Professional | None | $776.25 | $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 $707.95 | Professional | None | $602.56 | $660.69 | $707.95 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $302.00 Median $331.13 Typical High $354.81 | Professional | 52 · Reduced service | $302.00 | $331.13 | $354.81 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $131.83 Typical High $141.25 | Professional | 53 · Discontinued | $120.23 | $131.83 | $141.25 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $100.00 Typical High $104.71 | Professional | 55 · Aftercare only | $91.20 | $100.00 | $104.71 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $66.07 Typical High $70.79 | Professional | 56 · Pre-op care only | $60.26 | $66.07 | $70.79 |
Oscar Health Setting Professional Modifier None Typical Low $977.24 Median $2,238.72 Typical High $2,398.83 | Professional | None | $977.24 | $2,238.72 | $2,398.83 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,047.13 Median $4,786.30 Typical High $8,128.31 | Facility | None | $1,047.13 | $4,786.30 | $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 $851.14 Median $870.96 Typical High $2,238.72 | Facility | None | $851.14 | $870.96 | $2,238.72 |
United Setting Professional Modifier None Typical Low $575.44 Median $724.44 Typical High $1,202.26 | Professional | None | $575.44 | $724.44 | $1,202.26 |
Where Pennsylvania sits
The same service costs 3.0 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· 50th of 51
$724
HI $1,905DE $646
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.