How much rates vary
Facilitymedian $1,349 · 10th to 90th $1,047 to $5,888Professionalmedian $1,047 · 10th to 90th $955 to $2,089
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 $977.24 Median $977.24 Typical High $1,023.29 | Facility | None | $977.24 | $977.24 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $1,071.52 | Professional | None | $954.99 | $1,023.29 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $478.63 Median $512.86 Typical High $537.03 | Professional | 52 · Reduced service | $478.63 | $512.86 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $204.17 Typical High $213.80 | Professional | 53 · Discontinued | $190.55 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $151.36 Typical High $162.18 | Professional | 55 · Aftercare only | $144.54 | $151.36 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $102.33 Typical High $107.15 | Professional | 56 · Pre-op care only | $95.50 | $102.33 | $107.15 |
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 $1,659.59 Median $1,659.59 Typical High $1,778.28 | Professional | None | $1,659.59 | $1,659.59 | $1,778.28 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $1,949.84 Median $2,187.76 Typical High $2,187.76 | Professional | 50 · Both sides | $1,949.84 | $2,187.76 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $11,481.54 | Professional | None | $954.99 | $954.99 | $11,481.54 |
Emblem Health Setting Professional Modifier None Typical Low $1,949.84 Median $3,090.30 Typical High $3,548.13 | Professional | None | $1,949.84 | $3,090.30 | $3,548.13 |
Geisinger Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Geisinger Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $2,238.72 | Professional | None | $1,148.15 | $1,348.96 | $2,238.72 |
Martin's Point Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Martin's Point Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $1,071.52 | Professional | None | $954.99 | $1,023.29 | $1,071.52 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $478.63 Median $512.86 Typical High $537.03 | Professional | 52 · Reduced service | $478.63 | $512.86 | $537.03 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $208.93 Typical High $213.80 | Professional | 53 · Discontinued | $190.55 | $208.93 | $213.80 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $154.88 Typical High $162.18 | Professional | 55 · Aftercare only | $144.54 | $154.88 | $162.18 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $102.33 Typical High $107.15 | Professional | 56 · Pre-op care only | $95.50 | $102.33 | $107.15 |
Oscar Health Setting Professional Modifier None Typical Low $1,288.25 Median $2,137.96 Typical High $3,162.28 | Professional | None | $1,288.25 | $2,137.96 | $3,162.28 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,047.13 Median $4,786.30 Typical High $8,128.31 | Facility | None | $1,047.13 | $4,786.30 | $8,128.31 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $2,089.30 | Professional | None | $1,047.13 | $1,047.13 | $2,089.30 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,380.38 Typical High $3,388.44 | Facility | None | $1,348.96 | $1,380.38 | $3,388.44 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,819.70 | Professional | None | $977.24 | $1,096.48 | $1,819.70 |
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· 48th of 51
$1,072
HI $3,236DE $955
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.