How much rates vary
Facilitymedian $11,749 · 10th to 90th $7,586 to $47,863Professionalmedian $8,511 · 10th to 90th $7,943 to $16,982
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 $7,943.28 Median $7,943.28 Typical High $8,511.38 | Facility | None | $7,943.28 | $7,943.28 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $7,762.47 Median $7,943.28 Typical High $8,709.64 | Professional | None | $7,762.47 | $7,943.28 | $8,709.64 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3,890.45 Median $4,073.80 Typical High $4,365.16 | Professional | 52 · Reduced service | $3,890.45 | $4,073.80 | $4,365.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,548.82 Median $1,621.81 Typical High $1,737.80 | Professional | 53 · Discontinued | $1,548.82 | $1,621.81 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,174.90 Median $1,230.27 Typical High $1,318.26 | Professional | 55 · Aftercare only | $1,174.90 | $1,230.27 | $1,318.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $776.25 Median $812.83 Typical High $870.96 | Professional | 56 · Pre-op care only | $776.25 | $812.83 | $870.96 |
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 $13,489.63 Median $13,489.63 Typical High $14,454.40 | Professional | None | $13,489.63 | $13,489.63 | $14,454.40 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $16,218.10 Median $17,782.79 Typical High $17,782.79 | Professional | 50 · Both sides | $16,218.10 | $17,782.79 | $17,782.79 |
Cigna Setting Facility Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Facility | None | $11,748.98 | $11,748.98 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $91,201.08 | Professional | None | $8,511.38 | $8,511.38 | $91,201.08 |
Emblem Health Setting Professional Modifier None Typical Low $15,848.93 Median $25,118.86 Typical High $28,840.32 | Professional | None | $15,848.93 | $25,118.86 | $28,840.32 |
Geisinger Setting Facility Modifier None Typical Low $18,197.01 Median $18,197.01 Typical High $18,197.01 | Facility | None | $18,197.01 | $18,197.01 | $18,197.01 |
Geisinger Setting Professional Modifier None Typical Low $9,549.93 Median $10,964.78 Typical High $18,197.01 | Professional | None | $9,549.93 | $10,964.78 | $18,197.01 |
Martin's Point Setting Facility Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Facility | None | $7,943.28 | $7,943.28 | $7,943.28 |
Martin's Point Setting Professional Modifier None Typical Low $7,762.47 Median $8,511.38 Typical High $8,709.64 | Professional | None | $7,762.47 | $8,511.38 | $8,709.64 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $3,890.45 Median $4,265.80 Typical High $4,365.16 | Professional | 52 · Reduced service | $3,890.45 | $4,265.80 | $4,365.16 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1,548.82 Median $1,698.24 Typical High $1,737.80 | Professional | 53 · Discontinued | $1,548.82 | $1,698.24 | $1,737.80 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1,174.90 Median $1,258.93 Typical High $1,318.26 | Professional | 55 · Aftercare only | $1,174.90 | $1,258.93 | $1,318.26 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $776.25 Median $851.14 Typical High $870.96 | Professional | 56 · Pre-op care only | $776.25 | $851.14 | $870.96 |
Oscar Health Setting Professional Modifier None Typical Low $10,471.29 Median $17,782.79 Typical High $25,703.96 | Professional | None | $10,471.29 | $17,782.79 | $25,703.96 |
UPMC Health Plan Setting Facility Modifier None Typical Low $8,511.38 Median $38,904.51 Typical High $66,069.34 | Facility | None | $8,511.38 | $38,904.51 | $66,069.34 |
UPMC Health Plan Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $16,982.44 | Professional | None | $8,511.38 | $8,511.38 | $16,982.44 |
United Setting Facility Modifier None Typical Low $7,585.78 Median $8,912.51 Typical High $27,542.29 | Facility | None | $7,585.78 | $8,912.51 | $27,542.29 |
United Setting Professional Modifier None Typical Low $8,128.31 Median $8,912.51 Typical High $14,791.08 | Professional | None | $8,128.31 | $8,912.51 | $14,791.08 |
Where Pennsylvania sits
The same service costs 2.6 times more in Montana than in New Jersey. 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· 48th of 51
$8,710
MT $21,878NJ $8,511
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.