How much rates vary
Facilitymedian $1,950 · 10th to 90th $1,096 to $6,166Professionalmedian $1,202 · 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 $1,096.48 | Facility | None | $1,023.29 | $1,023.29 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,096.48 Typical High $1,122.02 | Professional | None | $1,023.29 | $1,096.48 | $1,122.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $512.86 Median $549.54 Typical High $562.34 | Professional | 52 · Reduced service | $512.86 | $549.54 | $562.34 |
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 $169.82 | Professional | 55 · Aftercare only | $154.88 | $162.18 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $109.65 Typical High $112.20 | Professional | 56 · Pre-op care only | $102.33 | $109.65 | $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 $1,778.28 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 $2,089.30 Median $2,290.87 Typical High $2,290.87 | Professional | 50 · Both sides | $2,089.30 | $2,290.87 | $2,290.87 |
Cigna 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 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $12,882.50 | Professional | None | $1,445.44 | $1,445.44 | $12,882.50 |
Emblem Health Setting Professional Modifier None Typical Low $2,884.03 Median $4,570.88 Typical High $5,248.07 | Professional | None | $2,884.03 | $4,570.88 | $5,248.07 |
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 $1,230.27 Median $1,412.54 Typical High $2,344.23 | Professional | None | $1,230.27 | $1,412.54 | $2,344.23 |
Highmark BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,905.46 | Professional | None | $1,621.81 | $1,621.81 | $1,905.46 |
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 $1,096.48 Typical High $1,122.02 | Professional | None | $1,023.29 | $1,096.48 | $1,122.02 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $512.86 Median $549.54 Typical High $562.34 | Professional | 52 · Reduced service | $512.86 | $549.54 | $562.34 |
Martin's Point 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 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $162.18 Typical High $169.82 | Professional | 55 · Aftercare only | $154.88 | $162.18 | $169.82 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $109.65 Typical High $112.20 | Professional | 56 · Pre-op care only | $102.33 | $109.65 | $112.20 |
Oscar Health Setting Professional Modifier None Typical Low $1,905.46 Median $4,365.16 Typical High $4,677.35 | Professional | None | $1,905.46 | $4,365.16 | $4,677.35 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,096.48 Median $5,011.87 Typical High $8,709.64 | Facility | None | $1,096.48 | $5,011.87 | $8,709.64 |
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 $1,096.48 Median $1,258.93 Typical High $3,801.89 | Facility | None | $1,096.48 | $1,258.93 | $3,801.89 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,905.46 | Professional | None | $1,047.13 | $1,174.90 | $1,905.46 |
Where Pennsylvania sits
The same service costs 2.4 times more in Minnesota 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
$1,259
MN $2,951DC $1,230
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.