How much rates vary
Facilitymedian $1,047 · 10th to 90th $676 to $4,898Professionalmedian $708 · 10th to 90th $631 to $1,349
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 $630.96 Median $630.96 Typical High $676.08 | Facility | None | $630.96 | $630.96 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $645.65 Typical High $707.95 | Professional | None | $630.96 | $645.65 | $707.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $323.59 Typical High $346.74 | Professional | 52 · Reduced service | $316.23 | $323.59 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $128.82 Typical High $141.25 | Professional | 53 · Discontinued | $125.89 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $95.50 Typical High $104.71 | Professional | 55 · Aftercare only | $93.33 | $95.50 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $64.57 Typical High $70.79 | Professional | 56 · Pre-op care only | $63.10 | $64.57 | $70.79 |
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 $1,096.48 Median $1,096.48 Typical High $1,174.90 | Professional | None | $1,096.48 | $1,096.48 | $1,174.90 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $1,288.25 Median $1,445.44 Typical High $1,445.44 | Professional | 50 · Both sides | $1,288.25 | $1,445.44 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $7,413.10 | Professional | None | $758.58 | $758.58 | $7,413.10 |
Emblem Health Setting Professional Modifier None Typical Low $1,288.25 Median $2,041.74 Typical High $2,344.23 | Professional | None | $1,288.25 | $2,041.74 | $2,344.23 |
Geisinger Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Geisinger Setting Professional Modifier None Typical Low $758.58 Median $870.96 Typical High $1,445.44 | Professional | None | $758.58 | $870.96 | $1,445.44 |
Martin's Point Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Martin's Point Setting Professional Modifier None Typical Low $630.96 Median $676.08 Typical High $707.95 | Professional | None | $630.96 | $676.08 | $707.95 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $316.23 Median $338.84 Typical High $346.74 | Professional | 52 · Reduced service | $316.23 | $338.84 | $346.74 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $134.90 Typical High $141.25 | Professional | 53 · Discontinued | $125.89 | $134.90 | $141.25 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $102.33 Typical High $104.71 | Professional | 55 · Aftercare only | $93.33 | $102.33 | $104.71 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $67.61 Typical High $70.79 | Professional | 56 · Pre-op care only | $63.10 | $67.61 | $70.79 |
Oscar Health Setting Professional Modifier None Typical Low $851.14 Median $1,412.54 Typical High $2,089.30 | Professional | None | $851.14 | $1,412.54 | $2,089.30 |
UPMC Health Plan Setting Facility Modifier None Typical Low $676.08 Median $3,090.30 Typical High $5,370.32 | Facility | None | $676.08 | $3,090.30 | $5,370.32 |
UPMC Health Plan Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $1,348.96 | Professional | None | $676.08 | $676.08 | $1,348.96 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,000.00 Typical High $2,238.72 | Facility | None | $912.01 | $1,000.00 | $2,238.72 |
United Setting Professional Modifier None Typical Low $645.65 Median $707.95 Typical High $1,174.90 | Professional | None | $645.65 | $707.95 | $1,174.90 |
Where Pennsylvania sits
The same service costs 3.1 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
$759
HI $2,344PA $759
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.