How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,905 to $10,715Professionalmedian $1,995 · 10th to 90th $1,778 to $3,802
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 $1,778.28 Median $1,778.28 Typical High $1,905.46 | Facility | None | $1,778.28 | $1,778.28 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,905.46 Typical High $1,949.84 | Professional | None | $1,737.80 | $1,905.46 | $1,949.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $870.96 Median $954.99 Typical High $977.24 | Professional | 52 · Reduced service | $870.96 | $954.99 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $380.19 Typical High $389.05 | Professional | 53 · Discontinued | $346.74 | $380.19 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $281.84 Typical High $295.12 | Professional | 55 · Aftercare only | $263.03 | $281.84 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $190.55 Typical High $194.98 | Professional | 56 · Pre-op care only | $173.78 | $190.55 | $194.98 |
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 $3,019.95 Median $3,019.95 Typical High $3,235.94 | Professional | None | $3,019.95 | $3,019.95 | $3,235.94 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $3,630.78 Median $3,981.07 Typical High $3,981.07 | Professional | 50 · Both sides | $3,630.78 | $3,981.07 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $21,877.62 | Professional | None | $1,995.26 | $1,995.26 | $21,877.62 |
Emblem Health Setting Professional Modifier None Typical Low $3,715.35 Median $5,888.44 Typical High $6,760.83 | Professional | None | $3,715.35 | $5,888.44 | $6,760.83 |
Geisinger Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Facility | None | $4,073.80 | $4,073.80 | $4,073.80 |
Geisinger Setting Professional Modifier None Typical Low $2,089.30 Median $2,454.71 Typical High $4,073.80 | Professional | None | $2,089.30 | $2,454.71 | $4,073.80 |
Martin's Point Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Martin's Point Setting Professional Modifier None Typical Low $1,778.28 Median $1,905.46 Typical High $1,949.84 | Professional | None | $1,778.28 | $1,905.46 | $1,949.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $891.25 Median $954.99 Typical High $977.24 | Professional | 52 · Reduced service | $891.25 | $954.99 | $977.24 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $380.19 Typical High $389.05 | Professional | 53 · Discontinued | $354.81 | $380.19 | $389.05 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $281.84 Typical High $295.12 | Professional | 55 · Aftercare only | $269.15 | $281.84 | $295.12 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $190.55 Typical High $194.98 | Professional | 56 · Pre-op care only | $177.83 | $190.55 | $194.98 |
Oscar Health Setting Professional Modifier None Typical Low $2,454.71 Median $4,168.69 Typical High $6,025.60 | Professional | None | $2,454.71 | $4,168.69 | $6,025.60 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,905.46 Median $8,709.64 Typical High $14,791.08 | Facility | None | $1,905.46 | $8,709.64 | $14,791.08 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $3,801.89 | Professional | None | $1,905.46 | $1,905.46 | $3,801.89 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,398.83 Typical High $6,456.54 | Facility | None | $2,187.76 | $2,398.83 | $6,456.54 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $1,995.26 Typical High $3,311.31 | Professional | None | $1,819.70 | $1,995.26 | $3,311.31 |
Where Pennsylvania sits
The same service costs 2.6 times more in Hawaii than in West Virginia. 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
$1,995
HI $5,129WV $1,995
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.