How much rates vary
Facilitymedian $933 · 10th to 90th $550 to $4,266Professionalmedian $603 · 10th to 90th $550 to $1,148
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 $549.54 Median $549.54 Typical High $575.44 | Facility | None | $549.54 | $549.54 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $575.44 Typical High $602.56 | Professional | None | $549.54 | $575.44 | $602.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $288.40 Typical High $302.00 | Professional | 52 · Reduced service | $269.15 | $288.40 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $114.82 Typical High $120.23 | Professional | 53 · Discontinued | $109.65 | $114.82 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $87.10 Typical High $89.13 | Professional | 55 · Aftercare only | $81.28 | $87.10 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $57.54 Typical High $60.26 | Professional | 56 · Pre-op care only | $54.95 | $57.54 | $60.26 |
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 $933.25 Median $933.25 Typical High $1,000.00 | Professional | None | $933.25 | $933.25 | $1,000.00 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $1,096.48 Median $1,230.27 Typical High $1,230.27 | Professional | 50 · Both sides | $1,096.48 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $6,456.54 | Professional | None | $676.08 | $676.08 | $6,456.54 |
Emblem Health Setting Professional Modifier None Typical Low $1,445.44 Median $2,290.87 Typical High $2,630.27 | Professional | None | $1,445.44 | $2,290.87 | $2,630.27 |
Geisinger Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Geisinger Setting Professional Modifier None Typical Low $645.65 Median $741.31 Typical High $1,230.27 | Professional | None | $645.65 | $741.31 | $1,230.27 |
Martin's Point Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Martin's Point Setting Professional Modifier None Typical Low $549.54 Median $575.44 Typical High $602.56 | Professional | None | $549.54 | $575.44 | $602.56 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $288.40 Typical High $302.00 | Professional | 52 · Reduced service | $269.15 | $288.40 | $302.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $114.82 Typical High $120.23 | Professional | 53 · Discontinued | $109.65 | $114.82 | $120.23 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $87.10 Typical High $89.13 | Professional | 55 · Aftercare only | $81.28 | $87.10 | $89.13 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $57.54 Typical High $60.26 | Professional | 56 · Pre-op care only | $54.95 | $57.54 | $60.26 |
Oscar Health Setting Professional Modifier None Typical Low $954.99 Median $1,584.89 Typical High $2,344.23 | Professional | None | $954.99 | $1,584.89 | $2,344.23 |
UPMC Health Plan Setting Facility Modifier None Typical Low $588.84 Median $2,630.27 Typical High $4,570.88 | Facility | None | $588.84 | $2,630.27 | $4,570.88 |
UPMC Health Plan Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $1,148.15 | Professional | None | $588.84 | $588.84 | $1,148.15 |
United Setting Facility Modifier None Typical Low $478.63 Median $575.44 Typical High $1,905.46 | Facility | None | $478.63 | $575.44 | $1,905.46 |
United Setting Professional Modifier None Typical Low $549.54 Median $616.60 Typical High $1,023.29 | Professional | None | $549.54 | $616.60 | $1,023.29 |
Where Pennsylvania sits
The same service costs 2.1 times more in Wisconsin 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
$646
WI $1,349DC $646
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.