How much rates vary
Facilitymedian $1,413 · 10th to 90th $871 to $5,012Professionalmedian $933 · 10th to 90th $813 to $1,738
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 $812.83 Median $812.83 Typical High $870.96 | Facility | None | $812.83 | $812.83 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $870.96 Typical High $912.01 | Professional | None | $812.83 | $870.96 | $912.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $407.38 Median $436.52 Typical High $446.68 | Professional | 52 · Reduced service | $407.38 | $436.52 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $173.78 Typical High $181.97 | Professional | 53 · Discontinued | $165.96 | $173.78 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $131.83 Typical High $134.90 | Professional | 55 · Aftercare only | $123.03 | $131.83 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $87.10 Typical High $91.20 | Professional | 56 · Pre-op care only | $81.28 | $87.10 | $91.20 |
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 $1,412.54 Median $1,412.54 Typical High $1,513.56 | Professional | None | $1,412.54 | $1,412.54 | $1,513.56 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $1,659.59 Median $1,819.70 Typical High $1,819.70 | Professional | 50 · Both sides | $1,659.59 | $1,819.70 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $10,471.29 | Professional | None | $1,023.29 | $1,023.29 | $10,471.29 |
Emblem Health Setting Professional Modifier None Typical Low $2,137.96 Median $3,388.44 Typical High $3,890.45 | Professional | None | $2,137.96 | $3,388.44 | $3,890.45 |
Geisinger Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Geisinger Setting Professional Modifier None Typical Low $977.24 Median $1,122.02 Typical High $1,862.09 | Professional | None | $977.24 | $1,122.02 | $1,862.09 |
Martin's Point Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Martin's Point Setting Professional Modifier None Typical Low $812.83 Median $870.96 Typical High $912.01 | Professional | None | $812.83 | $870.96 | $912.01 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $407.38 Median $436.52 Typical High $446.68 | Professional | 52 · Reduced service | $407.38 | $436.52 | $446.68 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $173.78 Typical High $181.97 | Professional | 53 · Discontinued | $165.96 | $173.78 | $181.97 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $131.83 Typical High $134.90 | Professional | 55 · Aftercare only | $123.03 | $131.83 | $134.90 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $87.10 Typical High $91.20 | Professional | 56 · Pre-op care only | $81.28 | $87.10 | $91.20 |
Oscar Health Setting Professional Modifier None Typical Low $1,412.54 Median $3,235.94 Typical High $3,467.37 | Professional | None | $1,412.54 | $3,235.94 | $3,467.37 |
UPMC Health Plan Setting Facility Modifier None Typical Low $870.96 Median $3,981.07 Typical High $6,918.31 | Facility | None | $870.96 | $3,981.07 | $6,918.31 |
UPMC Health Plan Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,737.80 | Professional | None | $870.96 | $870.96 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,318.26 Typical High $3,019.95 | Facility | None | $1,230.27 | $1,318.26 | $3,019.95 |
United Setting Professional Modifier None Typical Low $831.76 Median $933.25 Typical High $1,513.56 | Professional | None | $831.76 | $933.25 | $1,513.56 |
Where Pennsylvania sits
The same service costs 3.6 times more in Hawaii than in Washington, DC. 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· 50th of 51
$1,000
HI $3,548DC $977
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.