How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,549 to $8,710Professionalmedian $1,622 · 10th to 90th $1,479 to $3,090
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 $1,479.11 Median $1,479.11 Typical High $1,548.82 | Facility | None | $1,479.11 | $1,479.11 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,479.11 Typical High $1,621.81 | Professional | None | $1,445.44 | $1,479.11 | $1,621.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $724.44 Median $758.58 Typical High $794.33 | Professional | 52 · Reduced service | $724.44 | $758.58 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $302.00 Typical High $323.59 | Professional | 53 · Discontinued | $288.40 | $302.00 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $229.09 Typical High $239.88 | Professional | 55 · Aftercare only | $213.80 | $229.09 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $151.36 Typical High $162.18 | Professional | 56 · Pre-op care only | $144.54 | $151.36 | $162.18 |
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 $2,511.89 Median $2,511.89 Typical High $2,691.53 | Professional | None | $2,511.89 | $2,511.89 | $2,691.53 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $2,951.21 Median $3,311.31 Typical High $3,311.31 | Professional | 50 · Both sides | $2,951.21 | $3,311.31 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $18,197.01 | Professional | None | $1,949.84 | $1,949.84 | $18,197.01 |
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 $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,311.31 | $3,311.31 | $3,311.31 |
Geisinger Setting Professional Modifier None Typical Low $1,737.80 Median $1,995.26 Typical High $3,311.31 | Professional | None | $1,737.80 | $1,995.26 | $3,311.31 |
Martin's Point Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Martin's Point Setting Professional Modifier None Typical Low $1,479.11 Median $1,548.82 Typical High $1,621.81 | Professional | None | $1,479.11 | $1,548.82 | $1,621.81 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $724.44 Median $776.25 Typical High $794.33 | Professional | 52 · Reduced service | $724.44 | $776.25 | $794.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $309.03 Typical High $323.59 | Professional | 53 · Discontinued | $295.12 | $309.03 | $323.59 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $234.42 Typical High $239.88 | Professional | 55 · Aftercare only | $218.78 | $234.42 | $239.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $154.88 Typical High $162.18 | Professional | 56 · Pre-op care only | $147.91 | $154.88 | $162.18 |
Oscar Health Setting Professional Modifier None Typical Low $2,041.74 Median $4,677.35 Typical High $5,011.87 | Professional | None | $2,041.74 | $4,677.35 | $5,011.87 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,548.82 Median $7,079.46 Typical High $12,302.69 | Facility | None | $1,548.82 | $7,079.46 | $12,302.69 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $3,090.30 | Professional | None | $1,548.82 | $1,548.82 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $5,370.32 | Facility | None | $1,862.09 | $2,187.76 | $5,370.32 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $2,691.53 | Professional | None | $1,479.11 | $1,621.81 | $2,691.53 |
Where Pennsylvania sits
The same service costs 2.9 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· 50th of 51
$1,778
HI $5,012DC $1,738
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.