How much rates vary
Facilitymedian $3,715 · 10th to 90th $2,570 to $14,454Professionalmedian $2,692 · 10th to 90th $2,399 to $5,129
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 $2,398.83 Median $2,398.83 Typical High $2,570.40 | Facility | None | $2,398.83 | $2,398.83 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,398.83 Typical High $2,630.27 | Professional | None | $2,344.23 | $2,398.83 | $2,630.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,174.90 Median $1,202.26 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,174.90 | $1,202.26 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $478.63 Typical High $524.81 | Professional | 53 · Discontinued | $478.63 | $478.63 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $363.08 Typical High $398.11 | Professional | 55 · Aftercare only | $354.81 | $363.08 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $239.88 Typical High $263.03 | Professional | 56 · Pre-op care only | $234.42 | $239.88 | $263.03 |
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 $4,073.80 Median $4,073.80 Typical High $4,365.16 | Professional | None | $4,073.80 | $4,073.80 | $4,365.16 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $4,897.79 Median $5,370.32 Typical High $5,370.32 | Professional | 50 · Both sides | $4,897.79 | $5,370.32 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $28,840.32 | Professional | None | $2,754.23 | $2,754.23 | $28,840.32 |
Emblem Health Setting Professional Modifier None Typical Low $4,897.79 Median $7,762.47 Typical High $8,912.51 | Professional | None | $4,897.79 | $7,762.47 | $8,912.51 |
Geisinger Setting Facility Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Facility | None | $5,495.41 | $5,495.41 | $5,495.41 |
Geisinger Setting Professional Modifier None Typical Low $2,884.03 Median $3,311.31 Typical High $5,495.41 | Professional | None | $2,884.03 | $3,311.31 | $5,495.41 |
Martin's Point Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Martin's Point Setting Professional Modifier None Typical Low $2,344.23 Median $2,570.40 Typical High $2,630.27 | Professional | None | $2,344.23 | $2,570.40 | $2,630.27 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1,174.90 Median $1,288.25 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,174.90 | $1,288.25 | $1,318.26 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $512.86 Typical High $524.81 | Professional | 53 · Discontinued | $478.63 | $512.86 | $524.81 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $380.19 Typical High $398.11 | Professional | 55 · Aftercare only | $354.81 | $380.19 | $398.11 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $257.04 Typical High $263.03 | Professional | 56 · Pre-op care only | $234.42 | $257.04 | $263.03 |
Oscar Health Setting Professional Modifier None Typical Low $3,235.94 Median $7,413.10 Typical High $7,943.28 | Professional | None | $3,235.94 | $7,413.10 | $7,943.28 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2,570.40 Median $11,748.98 Typical High $19,952.62 | Facility | None | $2,570.40 | $11,748.98 | $19,952.62 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $5,128.61 | Professional | None | $2,570.40 | $2,570.40 | $5,128.61 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $7,079.46 Typical High $8,511.38 | Facility | None | $3,467.37 | $7,079.46 | $8,511.38 |
United Setting Professional Modifier None Typical Low $2,454.71 Median $2,691.53 Typical High $4,466.84 | Professional | None | $2,454.71 | $2,691.53 | $4,466.84 |
Where Pennsylvania sits
The same service costs 2.9 times more in Hawaii than in Pennsylvania. 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· 51st of 51
$2,754
HI $7,943PA $2,754
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.