How much rates vary
Facilitymedian $1,778 · 10th to 90th $1,175 to $6,607Professionalmedian $1,259 · 10th to 90th $1,096 to $2,344
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 $1,096.48 Median $1,096.48 Typical High $1,148.15 | Facility | None | $1,096.48 | $1,096.48 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $1,202.26 | Professional | None | $1,096.48 | $1,148.15 | $1,202.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $575.44 Typical High $602.56 | Professional | 52 · Reduced service | $549.54 | $575.44 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $229.09 Typical High $239.88 | Professional | 53 · Discontinued | $218.78 | $229.09 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $173.78 Typical High $181.97 | Professional | 55 · Aftercare only | $165.96 | $173.78 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $114.82 Typical High $120.23 | Professional | 56 · Pre-op care only | $109.65 | $114.82 | $120.23 |
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 $1,862.09 Median $1,862.09 Typical High $1,995.26 | Professional | None | $1,862.09 | $1,862.09 | $1,995.26 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $2,187.76 Median $2,454.71 Typical High $2,454.71 | Professional | 50 · Both sides | $2,187.76 | $2,454.71 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $13,803.84 | Professional | None | $1,318.26 | $1,318.26 | $13,803.84 |
Emblem Health Setting Professional Modifier None Typical Low $3,090.30 Median $4,786.30 Typical High $5,623.41 | Professional | None | $3,090.30 | $4,786.30 | $5,623.41 |
Geisinger Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Geisinger Setting Professional Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $2,511.89 | Professional | None | $1,288.25 | $1,513.56 | $2,511.89 |
Highmark BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Martin's Point Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Martin's Point Setting Professional Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $1,202.26 | Professional | None | $1,096.48 | $1,148.15 | $1,202.26 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $575.44 Typical High $602.56 | Professional | 52 · Reduced service | $549.54 | $575.44 | $602.56 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $229.09 Typical High $239.88 | Professional | 53 · Discontinued | $218.78 | $229.09 | $239.88 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $173.78 Typical High $181.97 | Professional | 55 · Aftercare only | $165.96 | $173.78 | $181.97 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $114.82 Typical High $120.23 | Professional | 56 · Pre-op care only | $109.65 | $114.82 | $120.23 |
Oscar Health Setting Professional Modifier None Typical Low $2,041.74 Median $3,388.44 Typical High $4,897.79 | Professional | None | $2,041.74 | $3,388.44 | $4,897.79 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,174.90 Median $5,370.32 Typical High $9,120.11 | Facility | None | $1,174.90 | $5,370.32 | $9,120.11 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $2,344.23 | Professional | None | $1,174.90 | $1,174.90 | $2,344.23 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $3,981.07 | Facility | None | $1,445.44 | $1,621.81 | $3,981.07 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,230.27 Typical High $2,041.74 | Professional | None | $1,096.48 | $1,230.27 | $2,041.74 |
Where Pennsylvania sits
The same service costs 2.8 times more in Hawaii 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· 47th of 51
$1,318
HI $3,715DC $1,318
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.