How much rates vary
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 $537.03 Median $3,235.94 Typical High $8,709.64 | Facility | None | $537.03 | $3,235.94 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $323.59 | Professional | None | $275.42 | $275.42 | $323.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $138.04 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | 53 · Discontinued | $54.95 | $54.95 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $204.17 Typical High $239.88 | Professional | 54 · Surgery only | $204.17 | $204.17 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $48.98 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $27.54 Typical High $32.36 | Professional | 56 · Pre-op care only | $27.54 | $27.54 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,290.87 Typical High $4,570.88 | Facility | None | $501.19 | $2,290.87 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Emblem Health Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Geisinger Setting Facility Modifier None Typical Low $2,290.87 Median $2,884.03 Typical High $5,011.87 | Facility | None | $2,290.87 | $2,884.03 | $5,011.87 |
Geisinger Setting Professional Modifier None Typical Low $302.00 Median $363.08 Typical High $602.56 | Professional | None | $302.00 | $363.08 | $602.56 |
Highmark BCBS Setting Facility Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Facility | None | $12,589.25 | $12,589.25 | $12,589.25 |
Highmark BCBS Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $2,818.38 Typical High $8,709.64 | Facility | None | $537.03 | $2,818.38 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $323.59 | Professional | None | $275.42 | $275.42 | $323.59 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $138.04 Typical High $162.18 | Professional | 52 · Reduced service | $138.04 | $138.04 | $162.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | 53 · Discontinued | $54.95 | $54.95 | $64.57 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $204.17 Typical High $239.88 | Professional | 54 · Surgery only | $204.17 | $204.17 | $239.88 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $48.98 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $48.98 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $27.54 Typical High $32.36 | Professional | 56 · Pre-op care only | $27.54 | $27.54 | $32.36 |
Oscar Health Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $5,888.44 | Facility | None | $1,148.15 | $1,905.46 | $5,888.44 |
United Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $602.56 | Professional | None | $354.81 | $407.38 | $602.56 |
Where Pennsylvania sits
The same service costs 28.2 times more in Texas than in Kentucky. 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· 41st of 51
$372
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.