How much rates vary
Facilitymedian $30,200 · 10th to 90th $18,621 to $112,202Professionalmedian $20,893 · 10th to 90th $18,621 to $39,811
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 $18,620.87 Median $18,620.87 Typical High $19,952.62 | Facility | None | $18,620.87 | $18,620.87 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $18,197.01 Median $18,620.87 Typical High $20,417.38 | Professional | None | $18,197.01 | $18,620.87 | $20,417.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9,120.11 Median $9,772.37 Typical High $10,232.93 | Professional | 52 · Reduced service | $9,120.11 | $9,772.37 | $10,232.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3,630.78 Median $3,890.45 Typical High $4,073.80 | Professional | 53 · Discontinued | $3,630.78 | $3,890.45 | $4,073.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2,754.23 Median $2,951.21 Typical High $3,090.30 | Professional | 55 · Aftercare only | $2,754.23 | $2,951.21 | $3,090.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,819.70 Median $1,949.84 Typical High $2,041.74 | Professional | 56 · Pre-op care only | $1,819.70 | $1,949.84 | $2,041.74 |
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 $31,622.78 Median $31,622.78 Typical High $33,884.42 | Professional | None | $31,622.78 | $31,622.78 | $33,884.42 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $38,018.94 Median $41,686.94 Typical High $41,686.94 | Professional | 50 · Both sides | $38,018.94 | $41,686.94 | $41,686.94 |
Cigna Setting Facility Modifier None Typical Low $30,199.52 Median $30,199.52 Typical High $30,199.52 | Facility | None | $30,199.52 | $30,199.52 | $30,199.52 |
Cigna Setting Professional Modifier None Typical Low $22,387.21 Median $22,387.21 Typical High $213,796.21 | Professional | None | $22,387.21 | $22,387.21 | $213,796.21 |
Emblem Health Setting Professional Modifier None Typical Low $40,738.03 Median $63,095.73 Typical High $74,131.02 | Professional | None | $40,738.03 | $63,095.73 | $74,131.02 |
Geisinger Setting Facility Modifier None Typical Low $42,657.95 Median $42,657.95 Typical High $42,657.95 | Facility | None | $42,657.95 | $42,657.95 | $42,657.95 |
Geisinger Setting Professional Modifier None Typical Low $22,387.21 Median $25,703.96 Typical High $42,657.95 | Professional | None | $22,387.21 | $25,703.96 | $42,657.95 |
Martin's Point Setting Facility Modifier None Typical Low $18,620.87 Median $18,620.87 Typical High $18,620.87 | Facility | None | $18,620.87 | $18,620.87 | $18,620.87 |
Martin's Point Setting Professional Modifier None Typical Low $18,197.01 Median $19,952.62 Typical High $20,417.38 | Professional | None | $18,197.01 | $19,952.62 | $20,417.38 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $9,120.11 Median $10,000.00 Typical High $10,232.93 | Professional | 52 · Reduced service | $9,120.11 | $10,000.00 | $10,232.93 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3,630.78 Median $3,981.07 Typical High $4,073.80 | Professional | 53 · Discontinued | $3,630.78 | $3,981.07 | $4,073.80 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2,754.23 Median $2,951.21 Typical High $3,090.30 | Professional | 55 · Aftercare only | $2,754.23 | $2,951.21 | $3,090.30 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1,819.70 Median $1,995.26 Typical High $2,041.74 | Professional | 56 · Pre-op care only | $1,819.70 | $1,995.26 | $2,041.74 |
Oscar Health Setting Professional Modifier None Typical Low $43,651.58 Median $61,659.50 Typical High $64,565.42 | Professional | None | $43,651.58 | $61,659.50 | $64,565.42 |
UPMC Health Plan Setting Facility Modifier None Typical Low $19,952.62 Median $91,201.08 Typical High $154,881.66 | Facility | None | $19,952.62 | $91,201.08 | $154,881.66 |
UPMC Health Plan Setting Professional Modifier None Typical Low $19,952.62 Median $19,952.62 Typical High $39,810.72 | Professional | None | $19,952.62 | $19,952.62 | $39,810.72 |
United Setting Facility Modifier None Typical Low $53,703.18 Median $53,703.18 Typical High $64,565.42 | Facility | None | $53,703.18 | $53,703.18 | $64,565.42 |
United Setting Professional Modifier None Typical Low $19,054.61 Median $20,892.96 Typical High $34,673.69 | Professional | None | $19,054.61 | $20,892.96 | $34,673.69 |
Where Pennsylvania sits
The same service costs 2.1 times more in Hawaii 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· 43rd of 51
$22,387
HI $47,863NJ $22,387
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.