How much rates vary
Facilitymedian $3,388 · 10th to 90th $2,884 to $19,498Professionalmedian $2,884 · 10th to 90th $2,089 to $4,677
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 $2,089.30 Median $2,089.30 Typical High $2,238.72 | Facility | None | $2,089.30 | $2,089.30 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,089.30 Typical High $2,290.87 | Professional | None | $2,041.74 | $2,089.30 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $323.59 Typical High $346.74 | Professional | 55 · Aftercare only | $309.03 | $323.59 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $218.78 Typical High $229.09 | Professional | 56 · Pre-op care only | $204.17 | $218.78 | $229.09 |
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 $3,801.89 Median $4,677.35 Typical High $4,677.35 | Professional | None | $3,801.89 | $4,677.35 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $23,442.29 | Professional | None | $2,089.30 | $2,089.30 | $23,442.29 |
Emblem Health Setting Professional Modifier None Typical Low $4,466.84 Median $6,918.31 Typical High $8,128.31 | Professional | None | $4,466.84 | $6,918.31 | $8,128.31 |
Geisinger Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Geisinger Setting Professional Modifier None Typical Low $2,511.89 Median $2,884.03 Typical High $4,786.30 | Professional | None | $2,511.89 | $2,884.03 | $4,786.30 |
Highmark BCBS Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,311.31 | $3,311.31 | $3,311.31 |
Martin's Point Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Martin's Point Setting Professional Modifier None Typical Low $2,041.74 Median $2,187.76 Typical High $2,290.87 | Professional | None | $2,041.74 | $2,187.76 | $2,290.87 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $331.13 Typical High $346.74 | Professional | 55 · Aftercare only | $309.03 | $331.13 | $346.74 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $223.87 Typical High $229.09 | Professional | 56 · Pre-op care only | $208.93 | $223.87 | $229.09 |
Oscar Health Setting Professional Modifier None Typical Low $4,265.80 Median $6,760.83 Typical High $7,079.46 | Professional | None | $4,265.80 | $6,760.83 | $7,079.46 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3,388.44 Median $15,488.17 Typical High $26,302.68 | Facility | None | $3,388.44 | $15,488.17 | $26,302.68 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $4,466.84 | Professional | None | $3,388.44 | $3,388.44 | $4,466.84 |
United Setting Facility Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $7,079.46 | Facility | None | $5,888.44 | $5,888.44 | $7,079.46 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $2,344.23 Typical High $3,801.89 | Professional | None | $2,137.96 | $2,344.23 | $3,801.89 |
Where Pennsylvania sits
The same service costs 2.4 times more in Montana 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· 28th of 51
$2,884
MT $5,012DE $2,089
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.