How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,096 to $8,710Professionalmedian $1,148 · 10th to 90th $759 to $1,549
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 $1,202.26 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,202.26 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,202.26 Typical High $1,348.96 | Professional | None | $1,096.48 | $1,202.26 | $1,348.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $602.56 Typical High $676.08 | Professional | 52 · Reduced service | $549.54 | $602.56 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $239.88 Typical High $269.15 | Professional | 53 · Discontinued | $218.78 | $239.88 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $181.97 Typical High $204.17 | Professional | 55 · Aftercare only | $165.96 | $181.97 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $120.23 Typical High $134.90 | Professional | 56 · Pre-op care only | $109.65 | $120.23 | $134.90 |
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 $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Emblem Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,818.38 Typical High $3,548.13 | Professional | None | $2,137.96 | $2,818.38 | $3,548.13 |
Geisinger Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Geisinger Setting Professional Modifier None Typical Low $954.99 Median $1,230.27 Typical High $1,584.89 | Professional | None | $954.99 | $1,230.27 | $1,584.89 |
Highmark BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,258.93 | Professional | None | $1,148.15 | $1,148.15 | $1,258.93 |
Martin's Point Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Martin's Point Setting Professional Modifier None Typical Low $1,096.48 Median $1,202.26 Typical High $1,348.96 | Professional | None | $1,096.48 | $1,202.26 | $1,348.96 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $549.54 Median $602.56 Typical High $676.08 | Professional | 52 · Reduced service | $549.54 | $602.56 | $676.08 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $239.88 Typical High $269.15 | Professional | 53 · Discontinued | $218.78 | $239.88 | $269.15 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $181.97 Typical High $204.17 | Professional | 55 · Aftercare only | $165.96 | $181.97 | $204.17 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $120.23 Typical High $134.90 | Professional | 56 · Pre-op care only | $109.65 | $120.23 | $134.90 |
Oscar Health Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,096.48 Median $5,011.87 Typical High $8,709.64 | Facility | None | $1,096.48 | $5,011.87 | $8,709.64 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,071.52 Median $1,096.48 Typical High $1,479.11 | Professional | None | $1,071.52 | $1,096.48 | $1,479.11 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,511.89 | Facility | None | $2,089.30 | $2,089.30 | $2,511.89 |
United Setting Professional Modifier None Typical Low $691.83 Median $776.25 Typical High $831.76 | Professional | None | $691.83 | $776.25 | $831.76 |
Where Pennsylvania sits
The same service costs 2.7 times more in Montana 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· 24th of 51
$1,202
MT $2,042NJ $759
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.