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 $177.83 Median $3,630.78 Typical High $8,511.38 | Facility | None | $177.83 | $3,630.78 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $229.09 Typical High $302.00 | Professional | None | $151.36 | $229.09 | $302.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $109.65 Typical High $151.36 | Professional | 52 · Reduced service | $75.86 | $109.65 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $43.65 Typical High $60.26 | Professional | 53 · Discontinued | $30.20 | $43.65 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $165.96 Typical High $223.87 | Professional | 54 · Surgery only | $114.82 | $165.96 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $33.11 Typical High $44.67 | Professional | 55 · Aftercare only | $22.91 | $33.11 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $21.88 Typical High $30.20 | Professional | 56 · Pre-op care only | $15.14 | $21.88 | $30.20 |
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 $251.19 Median $269.15 Typical High $56,234.13 | Professional | None | $251.19 | $269.15 | $56,234.13 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $169.82 Typical High $316.23 | Facility | None | $50.12 | $169.82 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $204.17 Typical High $416.87 | Professional | None | $144.54 | $204.17 | $416.87 |
Emblem Health Setting Professional Modifier None Typical Low $436.52 Median $588.84 Typical High $588.84 | Professional | None | $436.52 | $588.84 | $588.84 |
Geisinger Setting Facility Modifier None Typical Low $147.91 Median $186.21 Typical High $323.59 | Facility | None | $147.91 | $186.21 | $323.59 |
Geisinger Setting Professional Modifier None Typical Low $177.83 Median $331.13 Typical High $549.54 | Professional | None | $177.83 | $331.13 | $549.54 |
Martin's Point Setting Facility Modifier None Typical Low $302.00 Median $3,630.78 Typical High $8,709.64 | Facility | None | $302.00 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $151.36 Median $229.09 Typical High $302.00 | Professional | None | $151.36 | $229.09 | $302.00 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $109.65 Typical High $151.36 | Professional | 52 · Reduced service | $75.86 | $109.65 | $151.36 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $43.65 Typical High $60.26 | Professional | 53 · Discontinued | $30.20 | $43.65 | $60.26 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $165.96 Typical High $223.87 | Professional | 54 · Surgery only | $114.82 | $165.96 | $223.87 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $33.11 Typical High $44.67 | Professional | 55 · Aftercare only | $22.91 | $33.11 | $44.67 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $21.88 Typical High $30.20 | Professional | 56 · Pre-op care only | $15.14 | $21.88 | $30.20 |
Oscar Health Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $446.68 | Professional | None | $190.55 | $190.55 | $446.68 |
UPMC Health Plan Setting Facility Modifier None Typical Low $144.54 Median $165.96 Typical High $281.84 | Facility | None | $144.54 | $165.96 | $281.84 |
UPMC Health Plan Setting Professional Modifier None Typical Low $144.54 Median $181.97 Typical High $281.84 | Professional | None | $144.54 | $181.97 | $281.84 |
United Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $1,230.27 | Facility | None | $77.62 | $158.49 | $1,230.27 |
United Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $363.08 | Professional | None | $158.49 | $218.78 | $363.08 |
Where Pennsylvania sits
The same service costs 4.0 times more in Alaska than in Maryland. 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· 45th of 51
$209
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.