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 $93.33 Median $3,630.78 Typical High $8,511.38 | Facility | None | $93.33 | $3,630.78 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $120.23 Typical High $131.83 | Professional | None | $89.13 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $54.95 Typical High $66.07 | Professional | 52 · Reduced service | $44.67 | $54.95 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $21.88 Typical High $26.30 | Professional | 53 · Discontinued | $17.78 | $21.88 | $26.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $81.28 Typical High $100.00 | Professional | 54 · Surgery only | $67.61 | $81.28 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $16.60 Typical High $19.95 | Professional | 55 · Aftercare only | $13.49 | $16.60 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $10.96 Typical High $13.18 | Professional | 56 · Pre-op care only | $8.91 | $10.96 | $13.18 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $56,234.13 | Facility | None | $1,202.26 | $1,412.54 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $144.54 Median $147.91 Typical High $295.12 | Professional | None | $144.54 | $147.91 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $107.15 Typical High $186.21 | Facility | None | $50.12 | $107.15 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $131.83 Typical High $199.53 | Professional | None | $91.20 | $131.83 | $199.53 |
Emblem Health Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Geisinger Setting Facility Modifier None Typical Low $89.13 Median $112.20 Typical High $194.98 | Facility | None | $89.13 | $112.20 | $194.98 |
Geisinger Setting Professional Modifier None Typical Low $123.03 Median $186.21 Typical High $269.15 | Professional | None | $123.03 | $186.21 | $269.15 |
Martin's Point Setting Facility Modifier None Typical Low $131.83 Median $3,630.78 Typical High $8,709.64 | Facility | None | $131.83 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $89.13 Median $123.03 Typical High $131.83 | Professional | None | $89.13 | $123.03 | $131.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $54.95 Typical High $66.07 | Professional | 52 · Reduced service | $44.67 | $54.95 | $66.07 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $21.88 Typical High $26.30 | Professional | 53 · Discontinued | $17.78 | $21.88 | $26.30 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $81.28 Typical High $100.00 | Professional | 54 · Surgery only | $67.61 | $81.28 | $100.00 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $16.60 Typical High $19.95 | Professional | 55 · Aftercare only | $13.49 | $16.60 | $19.95 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $10.96 Typical High $13.18 | Professional | 56 · Pre-op care only | $8.91 | $10.96 | $13.18 |
Oscar Health Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $275.42 | Professional | None | $165.96 | $165.96 | $275.42 |
UPMC Health Plan Setting Facility Modifier None Typical Low $112.20 Median $263.03 Typical High $602.56 | Facility | None | $112.20 | $263.03 | $602.56 |
UPMC Health Plan Setting Professional Modifier None Typical Low $100.00 Median $138.04 Typical High $147.91 | Professional | None | $100.00 | $138.04 | $147.91 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,819.70 | Facility | None | $77.62 | $158.49 | $1,819.70 |
United Setting Professional Modifier None Typical Low $95.50 Median $134.90 Typical High $229.09 | Professional | None | $95.50 | $134.90 | $229.09 |
Where Pennsylvania sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 42nd of 51
$132
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.