How much rates vary
Facilitymedian $955 · 10th to 90th $692 to $5,012Professionalmedian $741 · 10th to 90th $692 to $1,479
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 $691.83 Median $691.83 Typical High $724.44 | Facility | None | $691.83 | $691.83 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $724.44 Typical High $758.58 | Professional | None | $676.08 | $724.44 | $758.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $363.08 Typical High $380.19 | Professional | 52 · Reduced service | $338.84 | $363.08 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $144.54 Typical High $151.36 | Professional | 53 · Discontinued | $134.90 | $144.54 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $107.15 Typical High $112.20 | Professional | 55 · Aftercare only | $102.33 | $107.15 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $72.44 Typical High $75.86 | Professional | 56 · Pre-op care only | $67.61 | $72.44 | $75.86 |
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 $1,174.90 Median $1,174.90 Typical High $1,258.93 | Professional | None | $1,174.90 | $1,174.90 | $1,258.93 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $1,380.38 Median $1,548.82 Typical High $1,548.82 | Professional | 50 · Both sides | $1,380.38 | $1,548.82 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $8,709.64 | Professional | None | $707.95 | $707.95 | $8,709.64 |
Emblem Health Setting Professional Modifier None Typical Low $1,445.44 Median $2,290.87 Typical High $2,630.27 | Professional | None | $1,445.44 | $2,290.87 | $2,630.27 |
Geisinger Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Geisinger Setting Professional Modifier None Typical Low $812.83 Median $933.25 Typical High $1,584.89 | Professional | None | $812.83 | $933.25 | $1,584.89 |
Martin's Point Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Martin's Point Setting Professional Modifier None Typical Low $691.83 Median $724.44 Typical High $758.58 | Professional | None | $691.83 | $724.44 | $758.58 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $363.08 Typical High $380.19 | Professional | 52 · Reduced service | $346.74 | $363.08 | $380.19 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $144.54 Typical High $151.36 | Professional | 53 · Discontinued | $138.04 | $144.54 | $151.36 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $109.65 Typical High $112.20 | Professional | 55 · Aftercare only | $102.33 | $109.65 | $112.20 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $72.44 Typical High $75.86 | Professional | 56 · Pre-op care only | $69.18 | $72.44 | $75.86 |
Oscar Health Setting Professional Modifier None Typical Low $954.99 Median $1,584.89 Typical High $2,344.23 | Professional | None | $954.99 | $1,584.89 | $2,344.23 |
UPMC Health Plan Setting Facility Modifier None Typical Low $741.31 Median $3,388.44 Typical High $5,754.40 | Facility | None | $741.31 | $3,388.44 | $5,754.40 |
UPMC Health Plan Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,479.11 | Professional | None | $741.31 | $741.31 | $1,479.11 |
United Setting Facility Modifier None Typical Low $173.78 Median $1,023.29 Typical High $2,511.89 | Facility | None | $173.78 | $1,023.29 | $2,511.89 |
United Setting Professional Modifier None Typical Low $691.83 Median $776.25 Typical High $1,288.25 | Professional | None | $691.83 | $776.25 | $1,288.25 |
Where Pennsylvania sits
The same service costs 3.2 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· 50th of 51
$759
HI $2,239DE $708
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.