How much rates vary
Facilitymedian $1,698 · 10th to 90th $1,349 to $9,772Professionalmedian $1,148 · 10th to 90th $977 to $2,239
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 $1,047.13 Median $1,047.13 Typical High $1,122.02 | Facility | None | $1,047.13 | $1,047.13 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,047.13 Typical High $1,148.15 | Professional | None | $1,023.29 | $1,047.13 | $1,148.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $512.86 Median $537.03 Typical High $575.44 | Professional | 52 · Reduced service | $512.86 | $537.03 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $218.78 Typical High $229.09 | Professional | 53 · Discontinued | $204.17 | $218.78 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $162.18 Typical High $173.78 | Professional | 55 · Aftercare only | $154.88 | $162.18 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $109.65 Typical High $114.82 | Professional | 56 · Pre-op care only | $102.33 | $109.65 | $114.82 |
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 $1,778.28 Median $1,778.28 Typical High $1,905.46 | Professional | None | $1,778.28 | $1,778.28 | $1,905.46 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $2,137.96 Median $2,344.23 Typical High $2,344.23 | Professional | 50 · Both sides | $2,137.96 | $2,344.23 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $11,748.98 | Professional | None | $977.24 | $977.24 | $11,748.98 |
Emblem Health Setting Professional Modifier None Typical Low $2,187.76 Median $3,467.37 Typical High $4,073.80 | Professional | None | $2,187.76 | $3,467.37 | $4,073.80 |
Geisinger Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Geisinger Setting Professional Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $2,398.83 | Professional | None | $1,258.93 | $1,445.44 | $2,398.83 |
Highmark BCBS Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,778.28 | Professional | None | $1,659.59 | $1,659.59 | $1,778.28 |
Martin's Point Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Martin's Point Setting Professional Modifier None Typical Low $1,023.29 Median $1,096.48 Typical High $1,148.15 | Professional | None | $1,023.29 | $1,096.48 | $1,148.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $562.34 Typical High $575.44 | Professional | 52 · Reduced service | $524.81 | $562.34 | $575.44 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $223.87 Typical High $229.09 | Professional | 53 · Discontinued | $208.93 | $223.87 | $229.09 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $165.96 Typical High $173.78 | Professional | 55 · Aftercare only | $154.88 | $165.96 | $173.78 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $112.20 Typical High $114.82 | Professional | 56 · Pre-op care only | $104.71 | $112.20 | $114.82 |
Oscar Health Setting Professional Modifier None Typical Low $2,137.96 Median $3,388.44 Typical High $3,548.13 | Professional | None | $2,137.96 | $3,388.44 | $3,548.13 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,698.24 Median $7,585.78 Typical High $13,182.57 | Facility | None | $1,698.24 | $7,585.78 | $13,182.57 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,238.72 | Professional | None | $1,698.24 | $1,698.24 | $2,238.72 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,548.13 | Facility | None | $2,951.21 | $2,951.21 | $3,548.13 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $1,949.84 | Professional | None | $1,071.52 | $1,174.90 | $1,949.84 |
Where Pennsylvania sits
The same service costs 2.6 times more in Montana 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· 50th of 51
$1,175
MT $2,512DE $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.