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 $229.09 Median $257.04 Typical High $263.03 | Professional | None | $229.09 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $125.89 Typical High $131.83 | Professional | 52 · Reduced service | $114.82 | $125.89 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $51.29 Typical High $52.48 | Professional | 53 · Discontinued | $45.71 | $51.29 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $190.55 Typical High $199.53 | Professional | 54 · Surgery only | $173.78 | $190.55 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $38.02 Typical High $39.81 | Professional | 55 · Aftercare only | $34.67 | $38.02 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $25.70 Typical High $26.30 | Professional | 56 · Pre-op care only | $22.91 | $25.70 | $26.30 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $56,234.13 | Facility | None | $2,630.27 | $3,019.95 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $1,380.38 Typical High $2,398.83 | Facility | None | $354.81 | $1,380.38 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $234.42 Typical High $457.09 | Professional | None | $229.09 | $234.42 | $457.09 |
Emblem Health Setting Professional Modifier None Typical Low $588.84 Median $812.83 Typical High $1,047.13 | Professional | None | $588.84 | $812.83 | $1,047.13 |
Geisinger Setting Facility Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $3,162.28 | Facility | None | $1,445.44 | $1,778.28 | $3,162.28 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $2,344.23 Typical High $7,244.36 | Facility | None | $537.03 | $2,344.23 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $229.09 Median $257.04 Typical High $263.03 | Professional | None | $229.09 | $257.04 | $263.03 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $125.89 Typical High $131.83 | Professional | 52 · Reduced service | $114.82 | $125.89 | $131.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $51.29 Typical High $52.48 | Professional | 53 · Discontinued | $45.71 | $51.29 | $52.48 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $190.55 Typical High $199.53 | Professional | 54 · Surgery only | $173.78 | $190.55 | $199.53 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $38.02 Typical High $39.81 | Professional | 55 · Aftercare only | $34.67 | $38.02 | $39.81 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $25.70 Typical High $26.30 | Professional | 56 · Pre-op care only | $22.91 | $25.70 | $26.30 |
Oscar Health Setting Professional Modifier None Typical Low $478.63 Median $501.19 Typical High $501.19 | Professional | None | $478.63 | $501.19 | $501.19 |
UPMC Health Plan Setting Facility Modifier None Typical Low $169.82 Median $275.42 Typical High $467.74 | Facility | None | $169.82 | $275.42 | $467.74 |
UPMC Health Plan Setting Professional Modifier None Typical Low $251.19 Median $275.42 Typical High $275.42 | Professional | None | $251.19 | $275.42 | $275.42 |
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 $213.80 Median $245.47 Typical High $389.05 | Professional | None | $213.80 | $245.47 | $389.05 |
Where Pennsylvania sits
The same service costs 4.6 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· 45th of 51
$263
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.