How much rates vary
Facilitymedian $2,138 · 10th to 90th $1,549 to $8,710Professionalmedian $1,549 · 10th to 90th $1,318 to $3,090
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 $1,318.26 Median $1,318.26 Typical High $1,479.11 | Facility | None | $1,318.26 | $1,318.26 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $1,548.82 | Professional | None | $1,318.26 | $1,479.11 | $1,548.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $660.69 Median $741.31 Typical High $776.25 | Professional | 52 · Reduced service | $660.69 | $741.31 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $295.12 Typical High $309.03 | Professional | 53 · Discontinued | $263.03 | $295.12 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $218.78 Typical High $234.42 | Professional | 55 · Aftercare only | $199.53 | $218.78 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $147.91 Typical High $154.88 | Professional | 56 · Pre-op care only | $131.83 | $147.91 | $154.88 |
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 $2,454.71 Median $2,454.71 Typical High $2,630.27 | Professional | None | $2,454.71 | $2,454.71 | $2,630.27 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $2,884.03 Median $3,235.94 Typical High $3,235.94 | Professional | 50 · Both sides | $2,884.03 | $3,235.94 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $18,197.01 | Professional | None | $1,479.11 | $1,479.11 | $18,197.01 |
Emblem Health Setting Professional Modifier None Typical Low $3,019.95 Median $4,786.30 Typical High $5,495.41 | Professional | None | $3,019.95 | $4,786.30 | $5,495.41 |
Geisinger Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,311.31 | $3,311.31 | $3,311.31 |
Geisinger Setting Professional Modifier None Typical Low $1,698.24 Median $1,995.26 Typical High $3,311.31 | Professional | None | $1,698.24 | $1,995.26 | $3,311.31 |
Martin's Point Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Martin's Point Setting Professional Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $1,548.82 | Professional | None | $1,318.26 | $1,479.11 | $1,548.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $660.69 Median $741.31 Typical High $776.25 | Professional | 52 · Reduced service | $660.69 | $741.31 | $776.25 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $295.12 Typical High $309.03 | Professional | 53 · Discontinued | $263.03 | $295.12 | $309.03 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $218.78 Typical High $234.42 | Professional | 55 · Aftercare only | $199.53 | $218.78 | $234.42 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $147.91 Typical High $154.88 | Professional | 56 · Pre-op care only | $131.83 | $147.91 | $154.88 |
Oscar Health Setting Professional Modifier None Typical Low $1,995.26 Median $4,570.88 Typical High $4,897.79 | Professional | None | $1,995.26 | $4,570.88 | $4,897.79 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,548.82 Median $7,079.46 Typical High $12,022.64 | Facility | None | $1,548.82 | $7,079.46 | $12,022.64 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $3,090.30 | Professional | None | $1,548.82 | $1,548.82 | $3,090.30 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $5,248.07 | Facility | None | $2,137.96 | $2,951.21 | $5,248.07 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,621.81 Typical High $2,691.53 | Professional | None | $1,348.96 | $1,621.81 | $2,691.53 |
Where Pennsylvania sits
The same service costs 4.4 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
$1,549
HI $6,457DE $1,479
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.