How much rates vary
Facilitymedian $4,677 · 10th to 90th $2,951 to $16,218Professionalmedian $3,020 · 10th to 90th $2,754 to $5,754
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 $2,754.23 Median $2,754.23 Typical High $2,884.03 | Facility | None | $2,754.23 | $2,754.23 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,818.38 Typical High $3,019.95 | Professional | None | $2,691.53 | $2,818.38 | $3,019.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,348.96 Median $1,412.54 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,348.96 | $1,412.54 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $575.44 Typical High $602.56 | Professional | 53 · Discontinued | $537.03 | $575.44 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $426.58 Typical High $446.68 | Professional | 55 · Aftercare only | $398.11 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $281.84 Typical High $302.00 | Professional | 56 · Pre-op care only | $269.15 | $281.84 | $302.00 |
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 $4,677.35 Median $4,677.35 Typical High $5,011.87 | Professional | None | $4,677.35 | $4,677.35 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $5,495.41 Median $6,165.95 Typical High $6,165.95 | Professional | 50 · Both sides | $5,495.41 | $6,165.95 | $6,165.95 |
Cigna 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 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $36,307.81 | Professional | None | $3,467.37 | $3,467.37 | $36,307.81 |
Emblem Health Setting Professional Modifier None Typical Low $5,754.40 Median $9,120.11 Typical High $10,471.29 | Professional | None | $5,754.40 | $9,120.11 | $10,471.29 |
Geisinger Setting Facility Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Facility | None | $6,165.95 | $6,165.95 | $6,165.95 |
Geisinger Setting Professional Modifier None Typical Low $3,235.94 Median $3,715.35 Typical High $6,165.95 | Professional | None | $3,235.94 | $3,715.35 | $6,165.95 |
Martin's Point 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 |
Martin's Point Setting Professional Modifier None Typical Low $2,754.23 Median $2,884.03 Typical High $3,019.95 | Professional | None | $2,754.23 | $2,884.03 | $3,019.95 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1,348.96 Median $1,445.44 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,348.96 | $1,445.44 | $1,513.56 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $575.44 Typical High $602.56 | Professional | 53 · Discontinued | $549.54 | $575.44 | $602.56 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $436.52 Typical High $446.68 | Professional | 55 · Aftercare only | $407.38 | $436.52 | $446.68 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $288.40 Typical High $302.00 | Professional | 56 · Pre-op care only | $275.42 | $288.40 | $302.00 |
Oscar Health Setting Professional Modifier None Typical Low $3,801.89 Median $6,309.57 Typical High $9,332.54 | Professional | None | $3,801.89 | $6,309.57 | $9,332.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2,951.21 Median $13,182.57 Typical High $22,908.68 | Facility | None | $2,951.21 | $13,182.57 | $22,908.68 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $5,754.40 | Professional | None | $2,951.21 | $2,951.21 | $5,754.40 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $4,897.79 Typical High $10,000.00 | Facility | None | $4,073.80 | $4,897.79 | $10,000.00 |
United Setting Professional Modifier None Typical Low $2,754.23 Median $3,090.30 Typical High $5,128.61 | Professional | None | $2,754.23 | $3,090.30 | $5,128.61 |
Where Pennsylvania sits
The same service costs 3.9 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
$3,311
HI $12,882DC $3,311
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.