How much rates vary
Facilitymedian $871 · 10th to 90th $550 to $4,074Professionalmedian $575 · 10th to 90th $513 to $1,096
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 $512.86 Median $512.86 Typical High $537.03 | Facility | None | $512.86 | $512.86 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $512.86 Typical High $562.34 | Professional | None | $501.19 | $512.86 | $562.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $257.04 Typical High $281.84 | Professional | 52 · Reduced service | $251.19 | $257.04 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $102.33 Typical High $112.20 | Professional | 53 · Discontinued | $100.00 | $102.33 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $77.62 Typical High $83.18 | Professional | 55 · Aftercare only | $74.13 | $77.62 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $51.29 Typical High $56.23 | Professional | 56 · Pre-op care only | $50.12 | $51.29 | $56.23 |
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 $870.96 Median $870.96 Typical High $933.25 | Professional | None | $870.96 | $870.96 | $933.25 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $1,023.29 Median $1,148.15 Typical High $1,148.15 | Professional | 50 · Both sides | $1,023.29 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $5,888.44 | Professional | None | $645.65 | $645.65 | $5,888.44 |
Emblem Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,584.89 Typical High $1,862.09 | Professional | None | $1,023.29 | $1,584.89 | $1,862.09 |
Geisinger Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Geisinger Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $1,174.90 | Professional | None | $602.56 | $691.83 | $1,174.90 |
Martin's Point Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Martin's Point Setting Professional Modifier None Typical Low $512.86 Median $537.03 Typical High $562.34 | Professional | None | $512.86 | $537.03 | $562.34 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $269.15 Typical High $281.84 | Professional | 52 · Reduced service | $257.04 | $269.15 | $281.84 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $107.15 Typical High $112.20 | Professional | 53 · Discontinued | $102.33 | $107.15 | $112.20 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $81.28 Typical High $83.18 | Professional | 55 · Aftercare only | $75.86 | $81.28 | $83.18 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $53.70 Typical High $56.23 | Professional | 56 · Pre-op care only | $51.29 | $53.70 | $56.23 |
Oscar Health Setting Professional Modifier None Typical Low $676.08 Median $1,548.82 Typical High $1,621.81 | Professional | None | $676.08 | $1,548.82 | $1,621.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $549.54 Median $2,454.71 Typical High $4,265.80 | Facility | None | $549.54 | $2,454.71 | $4,265.80 |
UPMC Health Plan Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $1,096.48 | Professional | None | $549.54 | $549.54 | $1,096.48 |
United Setting Facility Modifier None Typical Low $616.60 Median $645.65 Typical High $1,778.28 | Facility | None | $616.60 | $645.65 | $1,778.28 |
United Setting Professional Modifier None Typical Low $512.86 Median $575.44 Typical High $954.99 | Professional | None | $512.86 | $575.44 | $954.99 |
Where Pennsylvania sits
The same service costs 2.3 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
$617
HI $1,413PA $617
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.