How much rates vary
Facilitymedian $1,479 · 10th to 90th $1,202 to $5,012Professionalmedian $1,259 · 10th to 90th $1,148 to $2,455
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 $1,148.15 Median $1,148.15 Typical High $1,202.26 | Facility | None | $1,148.15 | $1,148.15 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,202.26 Typical High $1,258.93 | Professional | None | $1,122.02 | $1,202.26 | $1,258.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $562.34 Median $602.56 Typical High $630.96 | Professional | 52 · Reduced service | $562.34 | $602.56 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $239.88 Typical High $251.19 | Professional | 53 · Discontinued | $223.87 | $239.88 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $181.97 Typical High $186.21 | Professional | 55 · Aftercare only | $169.82 | $181.97 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $120.23 Typical High $125.89 | Professional | 56 · Pre-op care only | $112.20 | $120.23 | $125.89 |
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 $1,949.84 Median $1,949.84 Typical High $2,089.30 | Professional | None | $1,949.84 | $1,949.84 | $2,089.30 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $2,290.87 Median $2,570.40 Typical High $2,570.40 | Professional | 50 · Both sides | $2,290.87 | $2,570.40 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $12,022.64 | Professional | None | $1,258.93 | $1,258.93 | $12,022.64 |
Emblem Health Setting Professional Modifier None Typical Low $2,454.71 Median $3,890.45 Typical High $4,466.84 | Professional | None | $2,454.71 | $3,890.45 | $4,466.84 |
Geisinger Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
Geisinger Setting Professional Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $2,630.27 | Professional | None | $1,380.38 | $1,548.82 | $2,630.27 |
Martin's Point Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Martin's Point Setting Professional Modifier None Typical Low $1,148.15 Median $1,202.26 Typical High $1,258.93 | Professional | None | $1,148.15 | $1,202.26 | $1,258.93 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $575.44 Median $602.56 Typical High $630.96 | Professional | 52 · Reduced service | $575.44 | $602.56 | $630.96 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $239.88 Typical High $251.19 | Professional | 53 · Discontinued | $229.09 | $239.88 | $251.19 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $181.97 Typical High $186.21 | Professional | 55 · Aftercare only | $169.82 | $181.97 | $186.21 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $120.23 Typical High $125.89 | Professional | 56 · Pre-op care only | $114.82 | $120.23 | $125.89 |
Oscar Health Setting Professional Modifier None Typical Low $2,630.27 Median $3,715.35 Typical High $3,981.07 | Professional | None | $2,630.27 | $3,715.35 | $3,981.07 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $1,995.26 | Professional | None | $1,148.15 | $1,288.25 | $1,995.26 |
Where Pennsylvania sits
The same service costs 2.6 times more in Montana than in New York. 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· 50th of 51
$1,259
MT $2,754NY $1,072
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.