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 $2,344.23 Typical High $8,317.64 | Facility | None | $537.03 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $380.19 Typical High $407.38 | Professional | None | $346.74 | $380.19 | $407.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $186.21 Typical High $204.17 | Professional | 52 · Reduced service | $173.78 | $186.21 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $74.13 Typical High $81.28 | Professional | 53 · Discontinued | $69.18 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $281.84 Typical High $302.00 | Professional | 54 · Surgery only | $263.03 | $281.84 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $56.23 Typical High $60.26 | Professional | 55 · Aftercare only | $52.48 | $56.23 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $37.15 Typical High $40.74 | Professional | 56 · Pre-op care only | $34.67 | $37.15 | $40.74 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $28,183.83 Typical High $56,234.13 | Facility | None | $3,981.07 | $28,183.83 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $257.04 | Professional | None | $245.47 | $245.47 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $645.65 Typical High $2,089.30 | Facility | None | $446.68 | $645.65 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $389.05 Typical High $851.14 | Professional | None | $371.54 | $389.05 | $851.14 |
Emblem Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,202.26 Typical High $1,380.38 | Professional | None | $1,122.02 | $1,202.26 | $1,380.38 |
Martin's Point Setting Facility Modifier None Typical Low $588.84 Median $2,344.23 Typical High $7,244.36 | Facility | None | $588.84 | $2,344.23 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $346.74 Median $371.54 Typical High $407.38 | Professional | None | $346.74 | $371.54 | $407.38 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $186.21 Typical High $204.17 | Professional | 52 · Reduced service | $173.78 | $186.21 | $204.17 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $74.13 Typical High $81.28 | Professional | 53 · Discontinued | $69.18 | $74.13 | $81.28 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $281.84 Typical High $302.00 | Professional | 54 · Surgery only | $263.03 | $281.84 | $302.00 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $56.23 Typical High $60.26 | Professional | 55 · Aftercare only | $52.48 | $56.23 | $60.26 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $37.15 Typical High $40.74 | Professional | 56 · Pre-op care only | $34.67 | $37.15 | $40.74 |
Oscar Health Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $724.44 | Professional | None | $309.03 | $309.03 | $724.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
UPMC Health Plan Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
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 $338.84 Median $426.58 Typical High $630.96 | Professional | None | $338.84 | $426.58 | $630.96 |
Where Pennsylvania sits
The same service costs 4.6 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· 50th of 51
$363
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.