How much rates vary
Facilitymedian $4,677 · 10th to 90th $3,162 to $18,621Professionalmedian $3,467 · 10th to 90th $3,162 to $6,761
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 $3,162.28 Median $3,162.28 Typical High $3,311.31 | Facility | None | $3,162.28 | $3,162.28 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $3,090.30 Median $3,311.31 Typical High $3,467.37 | Professional | None | $3,090.30 | $3,311.31 | $3,467.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,548.82 Median $1,659.59 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,548.82 | $1,659.59 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $616.60 Median $660.69 Typical High $691.83 | Professional | 53 · Discontinued | $616.60 | $660.69 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $457.09 Median $501.19 Typical High $512.86 | Professional | 55 · Aftercare only | $457.09 | $501.19 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $309.03 Median $331.13 Typical High $346.74 | Professional | 56 · Pre-op care only | $309.03 | $331.13 | $346.74 |
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 $5,370.32 Median $5,370.32 Typical High $5,754.40 | Professional | None | $5,370.32 | $5,370.32 | $5,754.40 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $6,309.57 Median $7,079.46 Typical High $7,079.46 | Professional | 50 · Both sides | $6,309.57 | $7,079.46 | $7,079.46 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $37,153.52 | Professional | None | $3,467.37 | $3,467.37 | $37,153.52 |
Emblem Health Setting Professional Modifier None Typical Low $6,606.93 Median $10,471.29 Typical High $12,022.64 | Professional | None | $6,606.93 | $10,471.29 | $12,022.64 |
Geisinger 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 |
Geisinger Setting Professional Modifier None Typical Low $3,715.35 Median $4,265.80 Typical High $7,244.36 | Professional | None | $3,715.35 | $4,265.80 | $7,244.36 |
Martin's Point Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Martin's Point Setting Professional Modifier None Typical Low $3,162.28 Median $3,311.31 Typical High $3,467.37 | Professional | None | $3,162.28 | $3,311.31 | $3,467.37 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1,584.89 Median $1,659.59 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,584.89 | $1,659.59 | $1,737.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $660.69 Typical High $691.83 | Professional | 53 · Discontinued | $630.96 | $660.69 | $691.83 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $501.19 Typical High $512.86 | Professional | 55 · Aftercare only | $467.74 | $501.19 | $512.86 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $316.23 Median $331.13 Typical High $346.74 | Professional | 56 · Pre-op care only | $316.23 | $331.13 | $346.74 |
Oscar Health Setting Professional Modifier None Typical Low $4,365.16 Median $10,000.00 Typical High $10,715.19 | Professional | None | $4,365.16 | $10,000.00 | $10,715.19 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3,388.44 Median $15,135.61 Typical High $26,302.68 | Facility | None | $3,388.44 | $15,135.61 | $26,302.68 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $6,760.83 | Professional | None | $3,388.44 | $3,388.44 | $6,760.83 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $3,548.13 Typical High $11,481.54 | Facility | None | $2,884.03 | $3,548.13 | $11,481.54 |
United Setting Professional Modifier None Typical Low $3,162.28 Median $3,548.13 Typical High $5,888.44 | Professional | None | $3,162.28 | $3,548.13 | $5,888.44 |
Where Pennsylvania sits
The same service costs 2.3 times more in Arkansas than in Vermont. 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· 49th of 51
$3,467
AR $8,128VT $3,467
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.