How much rates vary
Facilitymedian $427 · 10th to 90th $309 to $2,291Professionalmedian $309 · 10th to 90th $288 to $617
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 $288.40 Median $288.40 Typical High $302.00 | Facility | None | $288.40 | $288.40 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $302.00 Typical High $316.23 | Professional | None | $281.84 | $302.00 | $316.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $151.36 Typical High $158.49 | Professional | 52 · Reduced service | $141.25 | $151.36 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $60.26 Typical High $63.10 | Professional | 53 · Discontinued | $56.23 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $45.71 Typical High $47.86 | Professional | 55 · Aftercare only | $42.66 | $45.71 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $30.20 Typical High $31.62 | Professional | 56 · Pre-op care only | $28.18 | $30.20 | $31.62 |
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 $489.78 Median $489.78 Typical High $524.81 | Professional | None | $489.78 | $489.78 | $524.81 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $575.44 Median $645.65 Typical High $645.65 | Professional | 50 · Both sides | $575.44 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $3,548.13 | Professional | None | $302.00 | $302.00 | $3,548.13 |
Emblem Health Setting Professional Modifier None Typical Low $602.56 Median $933.25 Typical High $1,096.48 | Professional | None | $602.56 | $933.25 | $1,096.48 |
Geisinger Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Geisinger Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $660.69 | Professional | None | $338.84 | $398.11 | $660.69 |
Martin's Point Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Martin's Point Setting Professional Modifier None Typical Low $288.40 Median $302.00 Typical High $316.23 | Professional | None | $288.40 | $302.00 | $316.23 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $151.36 Typical High $158.49 | Professional | 52 · Reduced service | $144.54 | $151.36 | $158.49 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $60.26 Typical High $63.10 | Professional | 53 · Discontinued | $57.54 | $60.26 | $63.10 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $45.71 Typical High $47.86 | Professional | 55 · Aftercare only | $42.66 | $45.71 | $47.86 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $30.20 Typical High $31.62 | Professional | 56 · Pre-op care only | $28.84 | $30.20 | $31.62 |
Oscar Health Setting Professional Modifier None Typical Low $398.11 Median $912.01 Typical High $954.99 | Professional | None | $398.11 | $912.01 | $954.99 |
UPMC Health Plan Setting Facility Modifier None Typical Low $309.03 Median $1,412.54 Typical High $2,398.83 | Facility | None | $309.03 | $1,412.54 | $2,398.83 |
UPMC Health Plan Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $616.60 | Professional | None | $309.03 | $309.03 | $616.60 |
United Setting Facility Modifier None Typical Low $426.58 Median $467.74 Typical High $1,047.13 | Facility | None | $426.58 | $467.74 | $1,047.13 |
United Setting Professional Modifier None Typical Low $288.40 Median $323.59 Typical High $537.03 | Professional | None | $288.40 | $323.59 | $537.03 |
Where Pennsylvania sits
The same service costs 3.9 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· 50th of 51
$316
HI $1,175DE $302
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.