How much rates vary
Facilitymedian $3,388 · 10th to 90th $2,089 to $11,749Professionalmedian $2,188 · 10th to 90th $1,950 to $4,169
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 $1,949.84 Median $1,949.84 Typical High $2,089.30 | Facility | None | $1,949.84 | $1,949.84 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $2,137.96 | Professional | None | $1,905.46 | $1,949.84 | $2,137.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $954.99 Median $977.24 Typical High $1,071.52 | Professional | 52 · Reduced service | $954.99 | $977.24 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $426.58 | Professional | 53 · Discontinued | $389.05 | $389.05 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $295.12 Typical High $323.59 | Professional | 55 · Aftercare only | $288.40 | $295.12 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $194.98 Typical High $213.80 | Professional | 56 · Pre-op care only | $190.55 | $194.98 | $213.80 |
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 $3,311.31 Median $3,311.31 Typical High $3,548.13 | Professional | None | $3,311.31 | $3,311.31 | $3,548.13 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $3,981.07 Median $4,365.16 Typical High $4,365.16 | Professional | 50 · Both sides | $3,981.07 | $4,365.16 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $22,387.21 | Professional | None | $2,454.71 | $2,454.71 | $22,387.21 |
Emblem Health Setting Professional Modifier None Typical Low $3,981.07 Median $6,309.57 Typical High $7,244.36 | Professional | None | $3,981.07 | $6,309.57 | $7,244.36 |
Geisinger Setting Facility Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,466.84 | $4,466.84 | $4,466.84 |
Geisinger Setting Professional Modifier None Typical Low $2,344.23 Median $2,691.53 Typical High $4,466.84 | Professional | None | $2,344.23 | $2,691.53 | $4,466.84 |
Martin's Point Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Martin's Point Setting Professional Modifier None Typical Low $1,905.46 Median $2,089.30 Typical High $2,137.96 | Professional | None | $1,905.46 | $2,089.30 | $2,137.96 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $954.99 Median $1,047.13 Typical High $1,071.52 | Professional | 52 · Reduced service | $954.99 | $1,047.13 | $1,071.52 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $416.87 Typical High $426.58 | Professional | 53 · Discontinued | $389.05 | $416.87 | $426.58 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $309.03 Typical High $323.59 | Professional | 55 · Aftercare only | $288.40 | $309.03 | $323.59 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $208.93 Typical High $213.80 | Professional | 56 · Pre-op care only | $190.55 | $208.93 | $213.80 |
Oscar Health Setting Professional Modifier None Typical Low $2,630.27 Median $4,466.84 Typical High $6,456.54 | Professional | None | $2,630.27 | $4,466.84 | $6,456.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2,089.30 Median $9,549.93 Typical High $16,218.10 | Facility | None | $2,089.30 | $9,549.93 | $16,218.10 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $4,168.69 | Professional | None | $2,089.30 | $2,089.30 | $4,168.69 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $5,495.41 Typical High $6,606.93 | Facility | None | $2,398.83 | $5,495.41 | $6,606.93 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $2,187.76 Typical High $3,630.78 | Professional | None | $1,995.26 | $2,187.76 | $3,630.78 |
Where Pennsylvania sits
The same service costs 2.1 times more in Montana than in South Carolina. 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
$2,399
MT $4,898SC $2,344
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.