How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,585 to $8,913Professionalmedian $1,660 · 10th to 90th $1,479 to $3,162
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 $1,479.11 Median $1,479.11 Typical High $1,548.82 | Facility | None | $1,479.11 | $1,479.11 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,479.11 Typical High $1,621.81 | Professional | None | $1,445.44 | $1,479.11 | $1,621.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $724.44 Median $776.25 Typical High $812.83 | Professional | 52 · Reduced service | $724.44 | $776.25 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $309.03 Typical High $323.59 | Professional | 53 · Discontinued | $288.40 | $309.03 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $229.09 Typical High $245.47 | Professional | 55 · Aftercare only | $218.78 | $229.09 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $154.88 Typical High $162.18 | Professional | 56 · Pre-op care only | $144.54 | $154.88 | $162.18 |
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 $2,511.89 Median $2,511.89 Typical High $2,691.53 | Professional | None | $2,511.89 | $2,511.89 | $2,691.53 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $3,019.95 Median $3,311.31 Typical High $3,311.31 | Professional | 50 · Both sides | $3,019.95 | $3,311.31 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $18,620.87 | Professional | None | $1,819.70 | $1,819.70 | $18,620.87 |
Emblem Health Setting Professional Modifier None Typical Low $3,311.31 Median $5,248.07 Typical High $6,025.60 | Professional | None | $3,311.31 | $5,248.07 | $6,025.60 |
Geisinger Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Geisinger Setting Professional Modifier None Typical Low $1,737.80 Median $2,041.74 Typical High $3,388.44 | Professional | None | $1,737.80 | $2,041.74 | $3,388.44 |
Martin's Point 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 |
Martin's Point Setting Professional Modifier None Typical Low $1,479.11 Median $1,548.82 Typical High $1,621.81 | Professional | None | $1,479.11 | $1,548.82 | $1,621.81 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $741.31 Median $776.25 Typical High $812.83 | Professional | 52 · Reduced service | $741.31 | $776.25 | $812.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $316.23 Typical High $323.59 | Professional | 53 · Discontinued | $295.12 | $316.23 | $323.59 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $234.42 Typical High $245.47 | Professional | 55 · Aftercare only | $223.87 | $234.42 | $245.47 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $154.88 Typical High $162.18 | Professional | 56 · Pre-op care only | $147.91 | $154.88 | $162.18 |
Oscar Health Setting Professional Modifier None Typical Low $2,187.76 Median $3,715.35 Typical High $5,370.32 | Professional | None | $2,187.76 | $3,715.35 | $5,370.32 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,584.89 Median $7,244.36 Typical High $12,302.69 | Facility | None | $1,584.89 | $7,244.36 | $12,302.69 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $3,162.28 | Professional | None | $1,584.89 | $1,584.89 | $3,162.28 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,290.87 Typical High $5,370.32 | Facility | None | $2,187.76 | $2,290.87 | $5,370.32 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $1,659.59 Typical High $2,754.23 | Professional | None | $1,479.11 | $1,659.59 | $2,754.23 |
Where Pennsylvania sits
The same service costs 3.2 times more in Hawaii than in Washington, DC. 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
$1,778
HI $5,623DC $1,778
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.