How much rates vary
Facilitymedian $589 · 10th to 90th $417 to $3,090Professionalmedian $427 · 10th to 90th $389 to $813
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 $389.05 Median $389.05 Typical High $407.38 | Facility | None | $389.05 | $389.05 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $389.05 Typical High $426.58 | Professional | None | $380.19 | $389.05 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $199.53 Typical High $213.80 | Professional | 52 · Reduced service | $190.55 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $81.28 Typical High $85.11 | Professional | 53 · Discontinued | $75.86 | $81.28 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $60.26 Typical High $63.10 | Professional | 55 · Aftercare only | $56.23 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $39.81 Typical High $42.66 | Professional | 56 · Pre-op care only | $38.02 | $39.81 | $42.66 |
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 $660.69 Median $660.69 Typical High $707.95 | Professional | None | $660.69 | $660.69 | $707.95 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $776.25 Median $870.96 Typical High $870.96 | Professional | 50 · Both sides | $776.25 | $870.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $4,677.35 | Professional | None | $426.58 | $426.58 | $4,677.35 |
Emblem Health Setting Professional Modifier None Typical Low $812.83 Median $1,288.25 Typical High $1,479.11 | Professional | None | $812.83 | $1,288.25 | $1,479.11 |
Geisinger Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Geisinger Setting Professional Modifier None Typical Low $457.09 Median $524.81 Typical High $870.96 | Professional | None | $457.09 | $524.81 | $870.96 |
Martin's Point Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Martin's Point Setting Professional Modifier None Typical Low $389.05 Median $407.38 Typical High $426.58 | Professional | None | $389.05 | $407.38 | $426.58 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $204.17 Typical High $213.80 | Professional | 52 · Reduced service | $190.55 | $204.17 | $213.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $81.28 Typical High $85.11 | Professional | 53 · Discontinued | $77.62 | $81.28 | $85.11 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $61.66 Typical High $63.10 | Professional | 55 · Aftercare only | $57.54 | $61.66 | $63.10 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $40.74 Typical High $42.66 | Professional | 56 · Pre-op care only | $38.90 | $40.74 | $42.66 |
Oscar Health Setting Professional Modifier None Typical Low $537.03 Median $1,230.27 Typical High $1,318.26 | Professional | None | $537.03 | $1,230.27 | $1,318.26 |
UPMC Health Plan Setting Facility Modifier None Typical Low $416.87 Median $1,862.09 Typical High $3,235.94 | Facility | None | $416.87 | $1,862.09 | $3,235.94 |
UPMC Health Plan Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $812.83 | Professional | None | $416.87 | $416.87 | $812.83 |
United Setting Facility Modifier None Typical Low $501.19 Median $524.81 Typical High $1,412.54 | Facility | None | $501.19 | $524.81 | $1,412.54 |
United Setting Professional Modifier None Typical Low $389.05 Median $436.52 Typical High $724.44 | Professional | None | $389.05 | $436.52 | $724.44 |
Where Pennsylvania sits
The same service costs 2.8 times more in Hawaii than in West Virginia. 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· 49th of 51
$427
HI $1,175WV $427
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.