How much rates vary
Facilitymedian $7,244 · 10th to 90th $4,571 to $26,915Professionalmedian $5,012 · 10th to 90th $4,571 to $9,550
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 $4,570.88 Median $4,570.88 Typical High $4,786.30 | Facility | None | $4,570.88 | $4,570.88 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $4,466.84 Median $4,677.35 Typical High $5,011.87 | Professional | None | $4,466.84 | $4,677.35 | $5,011.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,238.72 Median $2,398.83 Typical High $2,511.89 | Professional | 52 · Reduced service | $2,238.72 | $2,398.83 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $891.25 Median $954.99 Typical High $1,000.00 | Professional | 53 · Discontinued | $891.25 | $954.99 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $660.69 Median $724.44 Typical High $741.31 | Professional | 55 · Aftercare only | $660.69 | $724.44 | $741.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $446.68 Median $478.63 Typical High $501.19 | Professional | 56 · Pre-op care only | $446.68 | $478.63 | $501.19 |
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 $7,762.47 Median $7,762.47 Typical High $8,317.64 | Professional | None | $7,762.47 | $7,762.47 | $8,317.64 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $9,120.11 Median $10,232.93 Typical High $10,232.93 | Professional | 50 · Both sides | $9,120.11 | $10,232.93 | $10,232.93 |
Cigna Setting Facility Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Facility | None | $7,244.36 | $7,244.36 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $50,118.72 | Professional | None | $5,248.07 | $5,248.07 | $50,118.72 |
Emblem Health Setting Professional Modifier None Typical Low $8,709.64 Median $13,803.84 Typical High $15,848.93 | Professional | None | $8,709.64 | $13,803.84 | $15,848.93 |
Geisinger Setting Facility Modifier None Typical Low $10,232.93 Median $10,232.93 Typical High $10,232.93 | Facility | None | $10,232.93 | $10,232.93 | $10,232.93 |
Geisinger Setting Professional Modifier None Typical Low $5,370.32 Median $6,165.95 Typical High $10,232.93 | Professional | None | $5,370.32 | $6,165.95 | $10,232.93 |
Martin's Point Setting Facility Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Facility | None | $4,570.88 | $4,570.88 | $4,570.88 |
Martin's Point Setting Professional Modifier None Typical Low $4,570.88 Median $4,786.30 Typical High $5,011.87 | Professional | None | $4,570.88 | $4,786.30 | $5,011.87 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $2,290.87 Median $2,398.83 Typical High $2,511.89 | Professional | 52 · Reduced service | $2,290.87 | $2,398.83 | $2,511.89 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $912.01 Median $954.99 Typical High $1,000.00 | Professional | 53 · Discontinued | $912.01 | $954.99 | $1,000.00 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $676.08 Median $724.44 Typical High $741.31 | Professional | 55 · Aftercare only | $676.08 | $724.44 | $741.31 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $457.09 Median $478.63 Typical High $501.19 | Professional | 56 · Pre-op care only | $457.09 | $478.63 | $501.19 |
Oscar Health Setting Professional Modifier None Typical Low $5,754.40 Median $9,549.93 Typical High $14,125.38 | Professional | None | $5,754.40 | $9,549.93 | $14,125.38 |
UPMC Health Plan Setting Facility Modifier None Typical Low $4,897.79 Median $21,877.62 Typical High $38,018.94 | Facility | None | $4,897.79 | $21,877.62 | $38,018.94 |
UPMC Health Plan Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $9,549.93 | Professional | None | $4,897.79 | $4,897.79 | $9,549.93 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $15,135.61 | Facility | None | $4,365.16 | $5,128.61 | $15,135.61 |
United Setting Professional Modifier None Typical Low $4,570.88 Median $5,128.61 Typical High $8,511.38 | Professional | None | $4,570.88 | $5,128.61 | $8,511.38 |
Where Pennsylvania sits
The same service costs 2.1 times more in Hawaii than in Colorado. 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· 44th of 51
$5,248
HI $11,220CO $5,248
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.