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 $489.78 Median $4,897.79 Typical High $8,511.38 | Facility | None | $489.78 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $489.78 Typical High $707.95 | Professional | None | $426.58 | $489.78 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $354.81 Typical High $363.08 | Professional | 54 · Surgery only | $323.59 | $354.81 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $70.79 Typical High $72.44 | Professional | 55 · Aftercare only | $64.57 | $70.79 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $47.86 Typical High $48.98 | Professional | 56 · Pre-op care only | $42.66 | $47.86 | $48.98 |
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 $524.81 Median $575.44 Typical High $1,000.00 | Professional | None | $524.81 | $575.44 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $660.69 Typical High $2,290.87 | Facility | None | $380.19 | $660.69 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $831.76 | Professional | None | $398.11 | $467.74 | $831.76 |
Emblem Health Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $851.14 | Professional | None | $602.56 | $602.56 | $851.14 |
Geisinger Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $977.24 | Professional | None | $512.86 | $512.86 | $977.24 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $3,801.89 Typical High $8,709.64 | Facility | None | $537.03 | $3,801.89 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $426.58 Median $478.63 Typical High $524.81 | Professional | None | $426.58 | $478.63 | $524.81 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $354.81 Typical High $363.08 | Professional | 54 · Surgery only | $323.59 | $354.81 | $363.08 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $70.79 Typical High $72.44 | Professional | 55 · Aftercare only | $64.57 | $70.79 | $72.44 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $47.86 Typical High $48.98 | Professional | 56 · Pre-op care only | $42.66 | $47.86 | $48.98 |
Oscar Health Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
UPMC Health Plan Setting Facility Modifier None Typical Low $537.03 Median $616.60 Typical High $616.60 | Facility | None | $537.03 | $616.60 | $616.60 |
UPMC Health Plan Setting Professional Modifier None Typical Low $537.03 Median $616.60 Typical High $616.60 | Professional | None | $537.03 | $616.60 | $616.60 |
United Setting Facility Modifier None Typical Low $199.53 Median $562.34 Typical High $4,265.80 | Facility | None | $199.53 | $562.34 | $4,265.80 |
United Setting Professional Modifier None Typical Low $398.11 Median $549.54 Typical High $1,071.52 | Professional | None | $398.11 | $549.54 | $1,071.52 |
Where Pennsylvania sits
The same service costs 7.1 times more in Wisconsin than in New York. 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· 43rd of 51
$550
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.