How much rates vary
Facilitymedian $3,162 · 10th to 90th $2,818 to $16,218Professionalmedian $2,818 · 10th to 90th $1,778 to $3,981
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 $1,862.09 | Facility | None | $1,778.28 | $1,778.28 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,862.09 Typical High $1,949.84 | Professional | None | $1,737.80 | $1,862.09 | $1,949.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $870.96 Median $933.25 Typical High $977.24 | Professional | 52 · Reduced service | $870.96 | $933.25 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $371.54 Typical High $389.05 | Professional | 53 · Discontinued | $346.74 | $371.54 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $281.84 Typical High $288.40 | Professional | 55 · Aftercare only | $257.04 | $281.84 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $186.21 Typical High $194.98 | Professional | 56 · Pre-op care only | $173.78 | $186.21 | $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 $3,162.28 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,162.28 | $3,981.07 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $22,387.21 | Professional | None | $2,187.76 | $2,187.76 | $22,387.21 |
Emblem Health Setting Professional Modifier None Typical Low $3,801.89 Median $5,888.44 Typical High $6,918.31 | Professional | None | $3,801.89 | $5,888.44 | $6,918.31 |
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 $2,398.83 Median $2,454.71 Typical High $4,073.80 | Professional | None | $2,398.83 | $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 $1,862.09 Typical High $1,949.84 | Professional | None | $1,778.28 | $1,862.09 | $1,949.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $891.25 Median $933.25 Typical High $977.24 | Professional | 52 · Reduced service | $891.25 | $933.25 | $977.24 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $371.54 Typical High $389.05 | Professional | 53 · Discontinued | $354.81 | $371.54 | $389.05 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $281.84 Typical High $288.40 | Professional | 55 · Aftercare only | $263.03 | $281.84 | $288.40 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $186.21 Typical High $194.98 | Professional | 56 · Pre-op care only | $177.83 | $186.21 | $194.98 |
Oscar Health Setting Professional Modifier None Typical Low $4,073.80 Median $4,168.69 Typical High $6,025.60 | Professional | None | $4,073.80 | $4,168.69 | $6,025.60 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2,818.38 Median $12,882.50 Typical High $21,877.62 | Facility | None | $2,818.38 | $12,882.50 | $21,877.62 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,801.89 | Professional | None | $2,818.38 | $2,818.38 | $3,801.89 |
United Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $6,456.54 | Facility | None | $5,370.32 | $5,370.32 | $6,456.54 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,041.74 Typical High $3,311.31 | Professional | None | $1,819.70 | $2,041.74 | $3,311.31 |
Where Pennsylvania sits
The same service costs 2.4 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· 32nd of 51
$2,818
HI $5,248WV $2,188
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.