How much rates vary
Facilitymedian $1,622 · 10th to 90th $1,380 to $7,762Professionalmedian $1,380 · 10th to 90th $1,122 to $2,754
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 $1,288.25 Median $1,288.25 Typical High $1,380.38 | Facility | None | $1,288.25 | $1,288.25 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,288.25 Typical High $1,412.54 | Professional | None | $1,258.93 | $1,288.25 | $1,412.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $630.96 Median $645.65 Typical High $707.95 | Professional | 52 · Reduced service | $630.96 | $645.65 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $281.84 | Professional | 53 · Discontinued | $257.04 | $257.04 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $194.98 Typical High $213.80 | Professional | 55 · Aftercare only | $190.55 | $194.98 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $128.82 Typical High $141.25 | Professional | 56 · Pre-op care only | $125.89 | $128.82 | $141.25 |
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 $2,187.76 Median $2,187.76 Typical High $2,344.23 | Professional | None | $2,187.76 | $2,187.76 | $2,344.23 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $2,630.27 Median $2,884.03 Typical High $2,884.03 | Professional | 50 · Both sides | $2,630.27 | $2,884.03 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,548.82 | Facility | None | $1,513.56 | $1,513.56 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $13,489.63 | Professional | None | $1,122.02 | $1,122.02 | $13,489.63 |
Emblem Health Setting Professional Modifier None Typical Low $3,019.95 Median $4,786.30 Typical High $5,623.41 | Professional | None | $3,019.95 | $4,786.30 | $5,623.41 |
Geisinger Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Geisinger Setting Professional Modifier None Typical Low $1,548.82 Median $1,778.28 Typical High $2,951.21 | Professional | None | $1,548.82 | $1,778.28 | $2,951.21 |
Martin's Point Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Martin's Point Setting Professional Modifier None Typical Low $1,258.93 Median $1,380.38 Typical High $1,412.54 | Professional | None | $1,258.93 | $1,380.38 | $1,412.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $630.96 Median $691.83 Typical High $707.95 | Professional | 52 · Reduced service | $630.96 | $691.83 | $707.95 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $275.42 Typical High $281.84 | Professional | 53 · Discontinued | $257.04 | $275.42 | $281.84 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $204.17 Typical High $213.80 | Professional | 55 · Aftercare only | $190.55 | $204.17 | $213.80 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $138.04 Typical High $141.25 | Professional | 56 · Pre-op care only | $125.89 | $138.04 | $141.25 |
Oscar Health Setting Professional Modifier None Typical Low $1,995.26 Median $3,388.44 Typical High $4,897.79 | Professional | None | $1,995.26 | $3,388.44 | $4,897.79 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,380.38 Median $6,309.57 Typical High $10,715.19 | Facility | None | $1,380.38 | $6,309.57 | $10,715.19 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,754.23 | Professional | None | $1,380.38 | $1,380.38 | $2,754.23 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,659.59 Typical High $3,981.07 | Facility | None | $1,621.81 | $1,659.59 | $3,981.07 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $2,398.83 | Professional | None | $1,202.26 | $1,445.44 | $2,398.83 |
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· 46th of 51
$1,413
HI $3,890DE $1,202
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.