How much rates vary
Facilitymedian $1,738 · 10th to 90th $1,047 to $6,310Professionalmedian $1,175 · 10th to 90th $1,047 to $2,239
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 $1,047.13 Median $1,047.13 Typical High $1,096.48 | Facility | None | $1,047.13 | $1,047.13 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,096.48 Typical High $1,148.15 | Professional | None | $1,023.29 | $1,096.48 | $1,148.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $512.86 Median $549.54 Typical High $575.44 | Professional | 52 · Reduced service | $512.86 | $549.54 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $223.87 Typical High $229.09 | Professional | 53 · Discontinued | $204.17 | $223.87 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $165.96 Typical High $173.78 | Professional | 55 · Aftercare only | $154.88 | $165.96 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $109.65 Typical High $114.82 | Professional | 56 · Pre-op care only | $102.33 | $109.65 | $114.82 |
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 $2,344.23 Typical High $2,344.23 | Professional | 50 · Both sides | $2,089.30 | $2,344.23 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $12,302.69 | Professional | None | $1,288.25 | $1,288.25 | $12,302.69 |
Emblem Health Setting Professional Modifier None Typical Low $2,137.96 Median $3,311.31 Typical High $3,890.45 | Professional | None | $2,137.96 | $3,311.31 | $3,890.45 |
Geisinger Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Geisinger Setting Professional Modifier None Typical Low $1,230.27 Median $1,445.44 Typical High $2,398.83 | Professional | None | $1,230.27 | $1,445.44 | $2,398.83 |
Martin's Point Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Martin's Point Setting Professional Modifier None Typical Low $1,047.13 Median $1,096.48 Typical High $1,148.15 | Professional | None | $1,047.13 | $1,096.48 | $1,148.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $549.54 Typical High $575.44 | Professional | 52 · Reduced service | $524.81 | $549.54 | $575.44 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $223.87 Typical High $229.09 | Professional | 53 · Discontinued | $208.93 | $223.87 | $229.09 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $165.96 Typical High $173.78 | Professional | 55 · Aftercare only | $158.49 | $165.96 | $173.78 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $109.65 Typical High $114.82 | Professional | 56 · Pre-op care only | $104.71 | $109.65 | $114.82 |
Oscar Health Setting Professional Modifier None Typical Low $1,412.54 Median $3,235.94 Typical High $3,388.44 | Professional | None | $1,412.54 | $3,235.94 | $3,388.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,122.02 Median $5,128.61 Typical High $8,709.64 | Facility | None | $1,122.02 | $5,128.61 | $8,709.64 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $2,238.72 | Professional | None | $1,122.02 | $1,122.02 | $2,238.72 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,148.15 Typical High $3,715.35 | Facility | None | $977.24 | $1,148.15 | $3,715.35 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,949.84 | Professional | None | $1,047.13 | $1,174.90 | $1,949.84 |
Where Pennsylvania sits
The same service costs 2.1 times more in Montana than in Pennsylvania. 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· 51st of 51
$1,259
MT $2,692PA $1,259
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.