How much rates vary
Facilitymedian $3,020 · 10th to 90th $2,188 to $12,303Professionalmedian $2,188 · 10th to 90th $2,042 to $4,365
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 $2,041.74 Median $2,041.74 Typical High $2,137.96 | Facility | None | $2,041.74 | $2,041.74 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $2,041.74 Typical High $2,238.72 | Professional | None | $1,995.26 | $2,041.74 | $2,238.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,000.00 Median $1,047.13 Typical High $1,122.02 | Professional | 52 · Reduced service | $1,000.00 | $1,047.13 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $416.87 Typical High $446.68 | Professional | 53 · Discontinued | $398.11 | $416.87 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $316.23 Typical High $338.84 | Professional | 55 · Aftercare only | $302.00 | $316.23 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $208.93 Typical High $223.87 | Professional | 56 · Pre-op care only | $199.53 | $208.93 | $223.87 |
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 $3,467.37 Median $3,467.37 Typical High $3,715.35 | Professional | None | $3,467.37 | $3,467.37 | $3,715.35 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $4,073.80 Median $4,570.88 Typical High $4,570.88 | Professional | 50 · Both sides | $4,073.80 | $4,570.88 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $25,703.96 | Professional | None | $2,089.30 | $2,089.30 | $25,703.96 |
Emblem Health Setting Professional Modifier None Typical Low $4,265.80 Median $6,760.83 Typical High $7,762.47 | Professional | None | $4,265.80 | $6,760.83 | $7,762.47 |
Geisinger Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Geisinger Setting Professional Modifier None Typical Low $2,398.83 Median $2,818.38 Typical High $4,677.35 | Professional | None | $2,398.83 | $2,818.38 | $4,677.35 |
Martin's Point Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Martin's Point Setting Professional Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $2,238.72 | Professional | None | $2,041.74 | $2,137.96 | $2,238.72 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1,023.29 Median $1,071.52 Typical High $1,122.02 | Professional | 52 · Reduced service | $1,023.29 | $1,071.52 | $1,122.02 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $436.52 Typical High $446.68 | Professional | 53 · Discontinued | $407.38 | $436.52 | $446.68 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $323.59 Typical High $338.84 | Professional | 55 · Aftercare only | $309.03 | $323.59 | $338.84 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $213.80 Typical High $223.87 | Professional | 56 · Pre-op care only | $204.17 | $213.80 | $223.87 |
Oscar Health Setting Professional Modifier None Typical Low $2,818.38 Median $4,786.30 Typical High $6,918.31 | Professional | None | $2,818.38 | $4,786.30 | $6,918.31 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2,187.76 Median $10,000.00 Typical High $16,982.44 | Facility | None | $2,187.76 | $10,000.00 | $16,982.44 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $4,365.16 | Professional | None | $2,187.76 | $2,187.76 | $4,365.16 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,090.30 Typical High $7,413.10 | Facility | None | $3,019.95 | $3,090.30 | $7,413.10 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,290.87 Typical High $3,801.89 | Professional | None | $2,041.74 | $2,290.87 | $3,801.89 |
Where Pennsylvania sits
The same service costs 3.4 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· 49th of 51
$2,239
HI $7,079DE $2,089
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.