How much rates vary
Facilitymedian $1,413 · 10th to 90th $1,096 to $6,166Professionalmedian $1,096 · 10th to 90th $1,023 to $2,188
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 $1,023.29 Median $1,023.29 Typical High $1,071.52 | Facility | None | $1,023.29 | $1,023.29 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,122.02 | Professional | None | $1,023.29 | $1,071.52 | $1,122.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $512.86 Median $537.03 Typical High $562.34 | Professional | 52 · Reduced service | $512.86 | $537.03 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $213.80 Typical High $223.87 | Professional | 53 · Discontinued | $204.17 | $213.80 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $162.18 Typical High $165.96 | Professional | 55 · Aftercare only | $151.36 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $107.15 Typical High $112.20 | Professional | 56 · Pre-op care only | $102.33 | $107.15 | $112.20 |
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 $1,737.80 Median $1,737.80 Typical High $1,862.09 | Professional | None | $1,737.80 | $1,737.80 | $1,862.09 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $2,041.74 Median $2,290.87 Typical High $2,290.87 | Professional | 50 · Both sides | $2,041.74 | $2,290.87 | $2,290.87 |
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 $1,047.13 Median $1,047.13 Typical High $12,589.25 | Professional | None | $1,047.13 | $1,047.13 | $12,589.25 |
Emblem Health Setting Professional Modifier None Typical Low $2,511.89 Median $3,890.45 Typical High $4,570.88 | Professional | None | $2,511.89 | $3,890.45 | $4,570.88 |
Geisinger Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Geisinger Setting Professional Modifier None Typical Low $1,202.26 Median $1,380.38 Typical High $2,344.23 | Professional | None | $1,202.26 | $1,380.38 | $2,344.23 |
Martin's Point Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Martin's Point Setting Professional Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,122.02 | Professional | None | $1,023.29 | $1,071.52 | $1,122.02 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $512.86 Median $537.03 Typical High $562.34 | Professional | 52 · Reduced service | $512.86 | $537.03 | $562.34 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $213.80 Typical High $223.87 | Professional | 53 · Discontinued | $204.17 | $213.80 | $223.87 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $162.18 Typical High $165.96 | Professional | 55 · Aftercare only | $151.36 | $162.18 | $165.96 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $107.15 Typical High $112.20 | Professional | 56 · Pre-op care only | $102.33 | $107.15 | $112.20 |
Oscar Health Setting Professional Modifier None Typical Low $1,659.59 Median $3,801.89 Typical High $3,981.07 | Professional | None | $1,659.59 | $3,801.89 | $3,981.07 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,096.48 Median $5,011.87 Typical High $8,511.38 | Facility | None | $1,096.48 | $5,011.87 | $8,511.38 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $2,187.76 | Professional | None | $1,096.48 | $1,096.48 | $2,187.76 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,513.56 Typical High $3,715.35 | Facility | None | $1,348.96 | $1,513.56 | $3,715.35 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $1,905.46 | Professional | None | $1,023.29 | $1,148.15 | $1,905.46 |
Where Pennsylvania sits
The same service costs 3.2 times more in Hawaii 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· 49th of 51
$1,122
HI $3,388DE $1,047
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.