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 $537.03 Median $2,344.23 Typical High $8,317.64 | Facility | None | $537.03 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $812.83 Typical High $1,023.29 | Professional | None | $354.81 | $812.83 | $1,023.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $616.60 Typical High $776.25 | Professional | 54 · Surgery only | $263.03 | $616.60 | $776.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $575.44 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $245.47 | $575.44 | $724.44 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $4,365.16 Typical High $56,234.13 | Facility | None | $3,981.07 | $4,365.16 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $851.14 Median $1,445.44 Typical High $1,905.46 | Professional | None | $851.14 | $1,445.44 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,096.48 Typical High $2,041.74 | Facility | None | $588.84 | $1,096.48 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $741.31 Typical High $3,090.30 | Professional | None | $354.81 | $741.31 | $3,090.30 |
Emblem Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $1,995.26 | Professional | None | $1,096.48 | $1,513.56 | $1,995.26 |
Geisinger Setting Facility Modifier None Typical Low $776.25 Median $954.99 Typical High $1,698.24 | Facility | None | $776.25 | $954.99 | $1,698.24 |
Geisinger Setting Professional Modifier None Typical Low $407.38 Median $1,202.26 Typical High $3,162.28 | Professional | None | $407.38 | $1,202.26 | $3,162.28 |
Martin's Point Setting Facility Modifier None Typical Low $588.84 Median $2,137.96 Typical High $7,244.36 | Facility | None | $588.84 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $354.81 Median $851.14 Typical High $1,023.29 | Professional | None | $354.81 | $851.14 | $1,023.29 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $616.60 Typical High $776.25 | Professional | 54 · Surgery only | $263.03 | $616.60 | $776.25 |
Martin's Point Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $575.44 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $245.47 | $575.44 | $724.44 |
Oscar Health Setting Professional Modifier None Typical Low $1,778.28 Median $6,456.54 Typical High $6,606.93 | Professional | None | $1,778.28 | $6,456.54 | $6,606.93 |
UPMC Health Plan Setting Facility Modifier None Typical Low $363.08 Median $912.01 Typical High $2,754.23 | Facility | None | $363.08 | $912.01 | $2,754.23 |
UPMC Health Plan Setting Professional Modifier None Typical Low $363.08 Median $870.96 Typical High $2,754.23 | Professional | None | $363.08 | $870.96 | $2,754.23 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $4,570.88 | Facility | None | $812.83 | $1,318.26 | $4,570.88 |
United Setting Professional Modifier None Typical Low $323.59 Median $776.25 Typical High $2,630.27 | Professional | None | $323.59 | $776.25 | $2,630.27 |
Where Pennsylvania sits
The same service costs 4.5 times more in North Carolina than in Washington, DC. 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· 27th of 51
$891
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.