How much rates vary
Facilitymedian $2,399 · 10th to 90th $1,549 to $9,333Professionalmedian $1,738 · 10th to 90th $1,549 to $3,311
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 $1,548.82 Median $1,548.82 Typical High $1,659.59 | Facility | None | $1,548.82 | $1,548.82 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,584.89 Typical High $1,698.24 | Professional | None | $1,513.56 | $1,584.89 | $1,698.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $758.58 Median $794.33 Typical High $851.14 | Professional | 52 · Reduced service | $758.58 | $794.33 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $316.23 Typical High $338.84 | Professional | 53 · Discontinued | $309.03 | $316.23 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $239.88 Typical High $257.04 | Professional | 55 · Aftercare only | $229.09 | $239.88 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $158.49 Typical High $169.82 | Professional | 56 · Pre-op care only | $151.36 | $158.49 | $169.82 |
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 $2,630.27 Median $2,630.27 Typical High $2,818.38 | Professional | None | $2,630.27 | $2,630.27 | $2,818.38 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $3,162.28 Median $3,467.37 Typical High $3,467.37 | Professional | 50 · Both sides | $3,162.28 | $3,467.37 | $3,467.37 |
Cigna 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 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $17,782.79 | Professional | None | $1,737.80 | $1,737.80 | $17,782.79 |
Emblem Health Setting Professional Modifier None Typical Low $3,467.37 Median $5,370.32 Typical High $6,309.57 | Professional | None | $3,467.37 | $5,370.32 | $6,309.57 |
Geisinger Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Geisinger Setting Professional Modifier None Typical Low $1,862.09 Median $2,137.96 Typical High $3,548.13 | Professional | None | $1,862.09 | $2,137.96 | $3,548.13 |
Martin's Point Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Martin's Point Setting Professional Modifier None Typical Low $1,513.56 Median $1,659.59 Typical High $1,698.24 | Professional | None | $1,513.56 | $1,659.59 | $1,698.24 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $758.58 Median $831.76 Typical High $851.14 | Professional | 52 · Reduced service | $758.58 | $831.76 | $851.14 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $331.13 Typical High $338.84 | Professional | 53 · Discontinued | $309.03 | $331.13 | $338.84 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $245.47 Typical High $257.04 | Professional | 55 · Aftercare only | $229.09 | $245.47 | $257.04 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $165.96 Typical High $169.82 | Professional | 56 · Pre-op care only | $151.36 | $165.96 | $169.82 |
Oscar Health Setting Professional Modifier None Typical Low $2,290.87 Median $3,801.89 Typical High $5,495.41 | Professional | None | $2,290.87 | $3,801.89 | $5,495.41 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,659.59 Median $7,585.78 Typical High $12,882.50 | Facility | None | $1,659.59 | $7,585.78 | $12,882.50 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $3,311.31 | Professional | None | $1,659.59 | $1,659.59 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $5,495.41 | Facility | None | $1,445.44 | $1,698.24 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $1,737.80 Typical High $2,884.03 | Professional | None | $1,584.89 | $1,737.80 | $2,884.03 |
Where Pennsylvania sits
The same service costs 2.2 times more in Arkansas 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· 46th of 51
$1,738
AR $3,890DE $1,738
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.