How much rates vary
Facilitymedian $1,549 · 10th to 90th $1,175 to $6,607Professionalmedian $1,175 · 10th to 90th $1,122 to $2,344
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 $1,122.02 Median $1,122.02 Typical High $1,174.90 | Facility | None | $1,122.02 | $1,122.02 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $1,230.27 | Professional | None | $1,096.48 | $1,148.15 | $1,230.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $575.44 Typical High $602.56 | Professional | 52 · Reduced service | $549.54 | $575.44 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $234.42 Typical High $245.47 | Professional | 53 · Discontinued | $218.78 | $234.42 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $173.78 Typical High $181.97 | Professional | 55 · Aftercare only | $162.18 | $173.78 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $114.82 Typical High $123.03 | Professional | 56 · Pre-op care only | $109.65 | $114.82 | $123.03 |
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 $1,905.46 Median $1,905.46 Typical High $2,041.74 | Professional | None | $1,905.46 | $1,905.46 | $2,041.74 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $2,238.72 Median $2,511.89 Typical High $2,511.89 | Professional | 50 · Both sides | $2,238.72 | $2,511.89 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $14,125.38 | Professional | None | $1,122.02 | $1,122.02 | $14,125.38 |
Emblem Health Setting Professional Modifier None Typical Low $2,344.23 Median $3,630.78 Typical High $4,265.80 | Professional | None | $2,344.23 | $3,630.78 | $4,265.80 |
Geisinger Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Geisinger Setting Professional Modifier None Typical Low $1,318.26 Median $1,513.56 Typical High $2,511.89 | Professional | None | $1,318.26 | $1,513.56 | $2,511.89 |
Martin's Point Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Martin's Point Setting Professional Modifier None Typical Low $1,122.02 Median $1,174.90 Typical High $1,230.27 | Professional | None | $1,122.02 | $1,174.90 | $1,230.27 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $588.84 Typical High $602.56 | Professional | 52 · Reduced service | $549.54 | $588.84 | $602.56 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $234.42 Typical High $245.47 | Professional | 53 · Discontinued | $223.87 | $234.42 | $245.47 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $177.83 Typical High $181.97 | Professional | 55 · Aftercare only | $165.96 | $177.83 | $181.97 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $117.49 Typical High $123.03 | Professional | 56 · Pre-op care only | $112.20 | $117.49 | $123.03 |
Oscar Health Setting Professional Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $3,801.89 | Professional | None | $1,548.82 | $2,570.40 | $3,801.89 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,174.90 Median $5,370.32 Typical High $9,332.54 | Facility | None | $1,174.90 | $5,370.32 | $9,332.54 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $2,344.23 | Professional | None | $1,174.90 | $1,174.90 | $2,344.23 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,698.24 Typical High $4,073.80 | Facility | None | $1,479.11 | $1,698.24 | $4,073.80 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $2,089.30 | Professional | None | $1,122.02 | $1,258.93 | $2,089.30 |
Where Pennsylvania sits
The same service costs 3.0 times more in Iowa 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· 49th of 51
$1,230
IA $3,311DE $1,122
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.