How much rates vary
Facilitymedian $12,589 · 10th to 90th $7,943 to $51,286Professionalmedian $9,120 · 10th to 90th $8,511 to $18,197
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 $8,511.38 Median $8,511.38 Typical High $9,120.11 | Facility | None | $8,511.38 | $8,511.38 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $9,332.54 | Professional | None | $8,511.38 | $8,511.38 | $9,332.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4,168.69 Median $4,365.16 Typical High $4,677.35 | Professional | 52 · Reduced service | $4,168.69 | $4,365.16 | $4,677.35 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,698.24 Median $1,737.80 Typical High $1,905.46 | Professional | 53 · Discontinued | $1,698.24 | $1,737.80 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,258.93 Median $1,318.26 Typical High $1,412.54 | Professional | 55 · Aftercare only | $1,258.93 | $1,318.26 | $1,412.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $851.14 Median $870.96 Typical High $933.25 | Professional | 56 · Pre-op care only | $851.14 | $870.96 | $933.25 |
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 $14,791.08 Median $14,791.08 Typical High $15,848.93 | Professional | None | $14,791.08 | $14,791.08 | $15,848.93 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $17,378.01 Median $19,054.61 Typical High $19,054.61 | Professional | 50 · Both sides | $17,378.01 | $19,054.61 | $19,054.61 |
Cigna Setting Facility Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Facility | None | $12,589.25 | $12,589.25 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $95,499.26 | Professional | None | $9,120.11 | $9,120.11 | $95,499.26 |
Emblem Health Setting Professional Modifier None Typical Low $16,595.87 Median $25,703.96 Typical High $30,199.52 | Professional | None | $16,595.87 | $25,703.96 | $30,199.52 |
Geisinger Setting Facility Modifier None Typical Low $19,498.45 Median $19,498.45 Typical High $19,498.45 | Facility | None | $19,498.45 | $19,498.45 | $19,498.45 |
Geisinger Setting Professional Modifier None Typical Low $10,232.93 Median $11,748.98 Typical High $19,498.45 | Professional | None | $10,232.93 | $11,748.98 | $19,498.45 |
Martin's Point Setting Facility Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $8,511.38 | Facility | None | $8,511.38 | $8,511.38 | $8,511.38 |
Martin's Point Setting Professional Modifier None Typical Low $8,511.38 Median $9,120.11 Typical High $9,332.54 | Professional | None | $8,511.38 | $9,120.11 | $9,332.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $4,168.69 Median $4,570.88 Typical High $4,677.35 | Professional | 52 · Reduced service | $4,168.69 | $4,570.88 | $4,677.35 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1,698.24 Median $1,819.70 Typical High $1,905.46 | Professional | 53 · Discontinued | $1,698.24 | $1,819.70 | $1,905.46 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1,258.93 Median $1,348.96 Typical High $1,412.54 | Professional | 55 · Aftercare only | $1,258.93 | $1,348.96 | $1,412.54 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $851.14 Median $912.01 Typical High $933.25 | Professional | 56 · Pre-op care only | $851.14 | $912.01 | $933.25 |
Oscar Health Setting Professional Modifier None Typical Low $10,715.19 Median $18,197.01 Typical High $26,302.68 | Professional | None | $10,715.19 | $18,197.01 | $26,302.68 |
UPMC Health Plan Setting Facility Modifier None Typical Low $9,120.11 Median $41,686.94 Typical High $72,443.60 | Facility | None | $9,120.11 | $41,686.94 | $72,443.60 |
UPMC Health Plan Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $18,197.01 | Professional | None | $9,120.11 | $9,120.11 | $18,197.01 |
United Setting Facility Modifier None Typical Low $7,943.28 Median $9,332.54 Typical High $28,840.32 | Facility | None | $7,943.28 | $9,332.54 | $28,840.32 |
United Setting Professional Modifier None Typical Low $8,709.64 Median $9,549.93 Typical High $15,848.93 | Professional | None | $8,709.64 | $9,549.93 | $15,848.93 |
Where Pennsylvania sits
The same service costs 2.5 times more in Montana than in Florida. 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
$9,333
MT $22,387FL $9,120
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.