How much rates vary
Facilitymedian $2,570 · 10th to 90th $1,380 to $8,318Professionalmedian $1,549 · 10th to 90th $1,380 to $2,951
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 $1,380.38 Median $1,380.38 Typical High $1,445.44 | Facility | None | $1,380.38 | $1,380.38 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,445.44 Typical High $1,513.56 | Professional | None | $1,348.96 | $1,445.44 | $1,513.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $676.08 Median $724.44 Typical High $758.58 | Professional | 52 · Reduced service | $676.08 | $724.44 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $288.40 Typical High $302.00 | Professional | 53 · Discontinued | $269.15 | $288.40 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $218.78 Typical High $223.87 | Professional | 55 · Aftercare only | $199.53 | $218.78 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $144.54 Typical High $151.36 | Professional | 56 · Pre-op care only | $134.90 | $144.54 | $151.36 |
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 $2,344.23 Median $2,344.23 Typical High $2,511.89 | Professional | None | $2,344.23 | $2,344.23 | $2,511.89 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $2,754.23 Median $3,090.30 Typical High $3,090.30 | Professional | 50 · Both sides | $2,754.23 | $3,090.30 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $16,982.44 | Professional | None | $1,862.09 | $1,862.09 | $16,982.44 |
Emblem Health Setting Professional Modifier None Typical Low $2,884.03 Median $4,570.88 Typical High $5,248.07 | Professional | None | $2,884.03 | $4,570.88 | $5,248.07 |
Geisinger Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Geisinger Setting Professional Modifier None Typical Low $1,621.81 Median $1,862.09 Typical High $3,162.28 | Professional | None | $1,621.81 | $1,862.09 | $3,162.28 |
Martin's Point Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Martin's Point Setting Professional Modifier None Typical Low $1,380.38 Median $1,445.44 Typical High $1,513.56 | Professional | None | $1,380.38 | $1,445.44 | $1,513.56 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $691.83 Median $724.44 Typical High $758.58 | Professional | 52 · Reduced service | $691.83 | $724.44 | $758.58 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $288.40 Typical High $302.00 | Professional | 53 · Discontinued | $275.42 | $288.40 | $302.00 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $218.78 Typical High $223.87 | Professional | 55 · Aftercare only | $204.17 | $218.78 | $223.87 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $144.54 Typical High $151.36 | Professional | 56 · Pre-op care only | $138.04 | $144.54 | $151.36 |
Oscar Health Setting Professional Modifier None Typical Low $1,905.46 Median $4,365.16 Typical High $4,677.35 | Professional | None | $1,905.46 | $4,365.16 | $4,677.35 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,479.11 Median $6,606.93 Typical High $11,481.54 | Facility | None | $1,479.11 | $6,606.93 | $11,481.54 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $2,951.21 | Professional | None | $1,479.11 | $1,479.11 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $5,011.87 | Facility | None | $1,288.25 | $1,659.59 | $5,011.87 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $2,570.40 | Professional | None | $1,380.38 | $1,548.82 | $2,570.40 |
Where Pennsylvania sits
The same service costs 2.4 times more in Wisconsin 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
$1,660
WI $3,981DC $1,660
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.