How much rates vary
Facilitymedian $2,630 · 10th to 90th $1,950 to $14,791Professionalmedian $1,905 · 10th to 90th $1,585 to $3,631
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 $1,698.24 Median $1,698.24 Typical High $1,819.70 | Facility | None | $1,698.24 | $1,698.24 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,905.46 | Professional | None | $1,698.24 | $1,698.24 | $1,905.46 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $851.14 Median $851.14 Typical High $933.25 | Professional | 52 · Reduced service | $851.14 | $851.14 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $346.74 Typical High $380.19 | Professional | 53 · Discontinued | $338.84 | $346.74 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $257.04 Typical High $281.84 | Professional | 55 · Aftercare only | $251.19 | $257.04 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $190.55 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $190.55 |
Ambetter Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,311.31 | Professional | None | $2,951.21 | $2,951.21 | $3,311.31 |
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 $2,951.21 Median $2,951.21 Typical High $3,162.28 | Professional | None | $2,951.21 | $2,951.21 | $3,162.28 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $3,467.37 Median $3,890.45 Typical High $3,890.45 | Professional | 50 · Both sides | $3,467.37 | $3,890.45 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $19,054.61 | Professional | None | $1,584.89 | $1,584.89 | $19,054.61 |
Emblem Health Setting Professional Modifier None Typical Low $3,467.37 Median $5,495.41 Typical High $6,309.57 | Professional | None | $3,467.37 | $5,495.41 | $6,309.57 |
Geisinger Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Geisinger Setting Professional Modifier None Typical Low $2,041.74 Median $2,344.23 Typical High $3,890.45 | Professional | None | $2,041.74 | $2,344.23 | $3,890.45 |
Highmark BCBS Setting Professional Modifier None Typical Low $2,691.53 Median $3,162.28 Typical High $3,162.28 | Professional | None | $2,691.53 | $3,162.28 | $3,162.28 |
Martin's Point Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Martin's Point Setting Professional Modifier None Typical Low $1,698.24 Median $1,819.70 Typical High $1,905.46 | Professional | None | $1,698.24 | $1,819.70 | $1,905.46 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $851.14 Median $912.01 Typical High $933.25 | Professional | 52 · Reduced service | $851.14 | $912.01 | $933.25 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $363.08 Typical High $380.19 | Professional | 53 · Discontinued | $338.84 | $363.08 | $380.19 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $275.42 Typical High $281.84 | Professional | 55 · Aftercare only | $251.19 | $275.42 | $281.84 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $181.97 Typical High $190.55 | Professional | 56 · Pre-op care only | $169.82 | $181.97 | $190.55 |
Oscar Health Setting Professional Modifier None Typical Low $2,290.87 Median $5,370.32 Typical High $5,623.41 | Professional | None | $2,290.87 | $5,370.32 | $5,623.41 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2,630.27 Median $12,022.64 Typical High $20,892.96 | Facility | None | $2,630.27 | $12,022.64 | $20,892.96 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,630.78 | Professional | None | $2,630.27 | $2,630.27 | $3,630.78 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $4,677.35 Typical High $5,623.41 | Facility | None | $1,949.84 | $4,677.35 | $5,623.41 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $1,905.46 Typical High $3,162.28 | Professional | None | $1,737.80 | $1,905.46 | $3,162.28 |
Where Pennsylvania sits
The same service costs 2.6 times more in Wisconsin 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· 48th of 51
$1,905
WI $4,074DE $1,585
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.