How much rates vary
Facilitymedian $1,905 · 10th to 90th $1,000 to $10,965Professionalmedian $1,000 · 10th to 90th $891 to $1,950
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 $891.25 Median $891.25 Typical High $933.25 | Facility | None | $891.25 | $891.25 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $912.01 Typical High $977.24 | Professional | None | $870.96 | $912.01 | $977.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $436.52 Median $457.09 Typical High $489.78 | Professional | 52 · Reduced service | $436.52 | $457.09 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $181.97 Typical High $194.98 | Professional | 53 · Discontinued | $173.78 | $181.97 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $138.04 Typical High $147.91 | Professional | 55 · Aftercare only | $131.83 | $138.04 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $91.20 Typical High $97.72 | Professional | 56 · Pre-op care only | $87.10 | $91.20 | $97.72 |
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 $1,513.56 Median $1,513.56 Typical High $1,621.81 | Professional | None | $1,513.56 | $1,513.56 | $1,621.81 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $1,778.28 Median $1,995.26 Typical High $1,995.26 | Professional | 50 · Both sides | $1,778.28 | $1,995.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $10,000.00 | Professional | None | $954.99 | $954.99 | $10,000.00 |
Emblem Health Setting Professional Modifier None Typical Low $1,862.09 Median $2,951.21 Typical High $3,388.44 | Professional | None | $1,862.09 | $2,951.21 | $3,388.44 |
Geisinger Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Geisinger Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $2,041.74 | Professional | None | $1,047.13 | $1,230.27 | $2,041.74 |
Martin's Point Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Martin's Point Setting Professional Modifier None Typical Low $870.96 Median $933.25 Typical High $977.24 | Professional | None | $870.96 | $933.25 | $977.24 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $436.52 Median $467.74 Typical High $489.78 | Professional | 52 · Reduced service | $436.52 | $467.74 | $489.78 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $186.21 Typical High $194.98 | Professional | 53 · Discontinued | $173.78 | $186.21 | $194.98 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $141.25 Typical High $147.91 | Professional | 55 · Aftercare only | $131.83 | $141.25 | $147.91 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $93.33 Typical High $97.72 | Professional | 56 · Pre-op care only | $87.10 | $93.33 | $97.72 |
Oscar Health Setting Professional Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $3,019.95 | Professional | None | $1,819.70 | $2,818.38 | $3,019.95 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,905.46 Median $8,912.51 Typical High $15,135.61 | Facility | None | $1,905.46 | $8,912.51 | $15,135.61 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,905.46 | $1,949.84 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,454.71 Typical High $2,951.21 | Facility | None | $1,000.00 | $2,454.71 | $2,951.21 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,000.00 Typical High $1,659.59 | Professional | None | $891.25 | $1,000.00 | $1,659.59 |
Where Pennsylvania sits
The same service costs 3.0 times more in Kansas 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· 47th of 51
$1,000
KS $2,818DE $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.