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 $707.95 Median $2,344.23 Typical High $8,317.64 | Facility | None | $707.95 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $660.69 Typical High $707.95 | Professional | None | $630.96 | $660.69 | $707.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $309.03 Median $331.13 Typical High $354.81 | Professional | 52 · Reduced service | $309.03 | $331.13 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $131.83 Typical High $141.25 | Professional | 53 · Discontinued | $125.89 | $131.83 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $501.19 Typical High $537.03 | Professional | 54 · Surgery only | $467.74 | $501.19 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $100.00 Typical High $107.15 | Professional | 55 · Aftercare only | $93.33 | $100.00 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $66.07 Typical High $70.79 | Professional | 56 · Pre-op care only | $63.10 | $66.07 | $70.79 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $5,011.87 Typical High $56,234.13 | Facility | None | $3,981.07 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $691.83 Median $707.95 Typical High $1,288.25 | Professional | None | $691.83 | $707.95 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $630.96 Typical High $1,174.90 | Facility | None | $457.09 | $630.96 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $724.44 Typical High $1,513.56 | Professional | None | $660.69 | $724.44 | $1,513.56 |
Emblem Health Setting Professional Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,023.29 | Professional | None | $758.58 | $1,023.29 | $1,023.29 |
Geisinger Setting Professional Modifier None Typical Low $616.60 Median $794.33 Typical High $1,258.93 | Professional | None | $616.60 | $794.33 | $1,258.93 |
Martin's Point Setting Facility Modifier None Typical Low $707.95 Median $2,344.23 Typical High $7,244.36 | Facility | None | $707.95 | $2,344.23 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $630.96 Median $660.69 Typical High $707.95 | Professional | None | $630.96 | $660.69 | $707.95 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $309.03 Median $331.13 Typical High $354.81 | Professional | 52 · Reduced service | $309.03 | $331.13 | $354.81 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $131.83 Typical High $141.25 | Professional | 53 · Discontinued | $125.89 | $131.83 | $141.25 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $489.78 Typical High $537.03 | Professional | 54 · Surgery only | $467.74 | $489.78 | $537.03 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $97.72 Typical High $107.15 | Professional | 55 · Aftercare only | $93.33 | $97.72 | $107.15 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $66.07 Typical High $70.79 | Professional | 56 · Pre-op care only | $63.10 | $66.07 | $70.79 |
Oscar Health Setting Professional Modifier None Typical Low $758.58 Median $776.25 Typical High $2,691.53 | Professional | None | $758.58 | $776.25 | $2,691.53 |
UPMC Health Plan Setting Facility Modifier None Typical Low $676.08 Median $741.31 Typical High $741.31 | Facility | None | $676.08 | $741.31 | $741.31 |
UPMC Health Plan Setting Professional Modifier None Typical Low $676.08 Median $741.31 Typical High $741.31 | Professional | None | $676.08 | $741.31 | $741.31 |
United Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $1,230.27 | Facility | None | $70.79 | $141.25 | $1,230.27 |
United Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $1,071.52 | Professional | None | $630.96 | $741.31 | $1,071.52 |
Where Pennsylvania sits
The same service costs 4.7 times more in Alaska than in Utah. 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· 38th of 51
$708
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.