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 $72.44 Median $3,630.78 Typical High $8,511.38 | Facility | None | $72.44 | $3,630.78 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $87.10 Typical High $102.33 | Professional | None | $61.66 | $87.10 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $42.66 Typical High $51.29 | Professional | 52 · Reduced service | $30.90 | $42.66 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $16.98 Typical High $20.42 | Professional | 53 · Discontinued | $12.30 | $16.98 | $20.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $64.57 Typical High $77.62 | Professional | 54 · Surgery only | $46.77 | $64.57 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $12.88 Typical High $15.49 | Professional | 55 · Aftercare only | $9.33 | $12.88 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $8.51 Typical High $10.23 | Professional | 56 · Pre-op care only | $6.17 | $8.51 | $10.23 |
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 $104.71 Median $104.71 Typical High $158.49 | Professional | None | $104.71 | $104.71 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $95.50 Typical High $162.18 | Facility | None | $50.12 | $95.50 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $83.18 Typical High $158.49 | Professional | None | $57.54 | $83.18 | $158.49 |
Emblem Health Setting Professional Modifier None Typical Low $144.54 Median $194.98 Typical High $194.98 | Professional | None | $144.54 | $194.98 | $194.98 |
Geisinger Setting Facility Modifier None Typical Low $75.86 Median $95.50 Typical High $165.96 | Facility | None | $75.86 | $95.50 | $165.96 |
Geisinger Setting Professional Modifier None Typical Low $74.13 Median $120.23 Typical High $194.98 | Professional | None | $74.13 | $120.23 | $194.98 |
Martin's Point Setting Facility Modifier None Typical Low $102.33 Median $3,630.78 Typical High $8,709.64 | Facility | None | $102.33 | $3,630.78 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $61.66 Median $85.11 Typical High $102.33 | Professional | None | $61.66 | $85.11 | $102.33 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $41.69 Typical High $51.29 | Professional | 52 · Reduced service | $30.90 | $41.69 | $51.29 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $16.98 Typical High $20.42 | Professional | 53 · Discontinued | $12.30 | $16.98 | $20.42 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $63.10 Typical High $77.62 | Professional | 54 · Surgery only | $46.77 | $63.10 | $77.62 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $12.59 Typical High $15.49 | Professional | 55 · Aftercare only | $9.33 | $12.59 | $15.49 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $8.32 Typical High $10.23 | Professional | 56 · Pre-op care only | $6.17 | $8.32 | $10.23 |
Oscar Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $177.83 | Professional | None | $102.33 | $102.33 | $177.83 |
UPMC Health Plan Setting Facility Modifier None Typical Low $56.23 Median $67.61 Typical High $97.72 | Facility | None | $56.23 | $67.61 | $97.72 |
UPMC Health Plan Setting Professional Modifier None Typical Low $56.23 Median $74.13 Typical High $97.72 | Professional | None | $56.23 | $74.13 | $97.72 |
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 $61.66 Median $83.18 Typical High $134.90 | Professional | None | $61.66 | $83.18 | $134.90 |
Where Pennsylvania sits
The same service costs 3.8 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
$87.10
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.