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 $40.74 Median $45.71 Typical High $66.07 | Facility | None | $40.74 | $45.71 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $56.23 Typical High $66.07 | Professional | None | $39.81 | $56.23 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $28.18 Typical High $33.11 | Professional | 52 · Reduced service | $19.95 | $28.18 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $11.22 Typical High $13.18 | Professional | 53 · Discontinued | $7.94 | $11.22 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $8.51 Typical High $9.77 | Professional | 55 · Aftercare only | $5.89 | $8.51 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $5.62 Typical High $6.61 | Professional | 56 · Pre-op care only | $3.98 | $5.62 | $6.61 |
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 $64.57 Median $67.61 Typical High $67.61 | Professional | None | $64.57 | $67.61 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $54.95 Typical High $100.00 | Facility | None | $39.81 | $54.95 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $60.26 Typical High $102.33 | Professional | None | $43.65 | $60.26 | $102.33 |
Emblem Health Setting Professional Modifier None Typical Low $87.10 Median $114.82 Typical High $114.82 | Professional | None | $87.10 | $114.82 | $114.82 |
Geisinger Setting Facility Modifier None Typical Low $38.02 Median $46.77 Typical High $83.18 | Facility | None | $38.02 | $46.77 | $83.18 |
Geisinger Setting Professional Modifier None Typical Low $43.65 Median $67.61 Typical High $125.89 | Professional | None | $43.65 | $67.61 | $125.89 |
Martin's Point Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $66.07 | Facility | None | $45.71 | $45.71 | $66.07 |
Martin's Point Setting Professional Modifier None Typical Low $39.81 Median $56.23 Typical High $66.07 | Professional | None | $39.81 | $56.23 | $66.07 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $27.54 Typical High $33.11 | Professional | 52 · Reduced service | $19.95 | $27.54 | $33.11 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $11.22 Typical High $13.18 | Professional | 53 · Discontinued | $7.94 | $11.22 | $13.18 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $8.32 Typical High $9.77 | Professional | 55 · Aftercare only | $5.89 | $8.32 | $9.77 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $5.62 Typical High $6.61 | Professional | 56 · Pre-op care only | $3.98 | $5.62 | $6.61 |
Oscar Health Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $128.82 | Professional | None | $70.79 | $70.79 | $128.82 |
UPMC Health Plan Setting Facility Modifier None Typical Low $47.86 Median $134.90 Typical High $309.03 | Facility | None | $47.86 | $134.90 | $309.03 |
UPMC Health Plan Setting Professional Modifier None Typical Low $43.65 Median $61.66 Typical High $66.07 | Professional | None | $43.65 | $61.66 | $66.07 |
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 $43.65 Median $60.26 Typical High $87.10 | Professional | None | $43.65 | $60.26 | $87.10 |
Where Pennsylvania sits
The same service costs 3.5 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· 40th of 51
$60.26
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.