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 $234.42 Median $2,818.38 Typical High $8,511.38 | Facility | None | $234.42 | $2,818.38 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $204.17 Typical High $234.42 | Professional | None | $123.03 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $87.10 Typical High $117.49 | Professional | 52 · Reduced service | $61.66 | $87.10 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $34.67 Typical High $46.77 | Professional | 53 · Discontinued | $24.55 | $34.67 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $128.82 Typical High $173.78 | Professional | 54 · Surgery only | $91.20 | $128.82 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $25.70 Typical High $34.67 | Professional | 55 · Aftercare only | $18.20 | $25.70 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $17.38 Typical High $23.44 | Professional | 56 · Pre-op care only | $12.30 | $17.38 | $23.44 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $6,025.60 Typical High $56,234.13 | Facility | None | $3,981.07 | $6,025.60 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $489.78 | Professional | None | $208.93 | $208.93 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,584.89 Typical High $2,691.53 | Facility | None | $478.63 | $1,584.89 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $204.17 Typical High $354.81 | Professional | None | $123.03 | $204.17 | $354.81 |
Emblem Health Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $371.54 | Professional | None | $354.81 | $354.81 | $371.54 |
Geisinger Setting Facility Modifier None Typical Low $1,659.59 Median $2,041.74 Typical High $3,630.78 | Facility | None | $1,659.59 | $2,041.74 | $3,630.78 |
Geisinger Setting Professional Modifier None Typical Low $144.54 Median $234.42 Typical High $371.54 | Professional | None | $144.54 | $234.42 | $371.54 |
Martin's Point Setting Facility Modifier None Typical Low $575.44 Median $2,630.27 Typical High $8,317.64 | Facility | None | $575.44 | $2,630.27 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $123.03 Median $204.17 Typical High $234.42 | Professional | None | $123.03 | $204.17 | $234.42 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $87.10 Typical High $117.49 | Professional | 52 · Reduced service | $61.66 | $87.10 | $117.49 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $34.67 Typical High $46.77 | Professional | 53 · Discontinued | $24.55 | $34.67 | $46.77 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $128.82 Typical High $173.78 | Professional | 54 · Surgery only | $91.20 | $128.82 | $173.78 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $25.70 Typical High $34.67 | Professional | 55 · Aftercare only | $18.20 | $25.70 | $34.67 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $17.38 Typical High $23.44 | Professional | 56 · Pre-op care only | $12.30 | $17.38 | $23.44 |
Oscar Health Setting Professional Modifier None Typical Low $218.78 Median $234.42 Typical High $416.87 | Professional | None | $218.78 | $234.42 | $416.87 |
UPMC Health Plan Setting Facility Modifier None Typical Low $120.23 Median $1,071.52 Typical High $2,511.89 | Facility | None | $120.23 | $1,071.52 | $2,511.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $120.23 Median $186.21 Typical High $208.93 | Professional | None | $120.23 | $186.21 | $208.93 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $5,011.87 | Facility | None | $812.83 | $1,318.26 | $5,011.87 |
United Setting Professional Modifier None Typical Low $114.82 Median $194.98 Typical High $338.84 | Professional | None | $114.82 | $194.98 | $338.84 |
Where Pennsylvania sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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.