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 $389.05 Median $4,897.79 Typical High $8,511.38 | Facility | None | $389.05 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $389.05 Typical High $426.58 | Professional | None | $338.84 | $389.05 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $288.40 Typical High $295.12 | Professional | 54 · Surgery only | $257.04 | $288.40 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $57.54 Typical High $58.88 | Professional | 55 · Aftercare only | $51.29 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $38.02 Typical High $38.90 | Professional | 56 · Pre-op care only | $33.88 | $38.02 | $38.90 |
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 $398.11 Median $436.52 Typical High $776.25 | Professional | None | $398.11 | $436.52 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $676.08 Typical High $2,290.87 | Facility | None | $120.23 | $676.08 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $346.74 Typical High $1,548.82 | Professional | None | $309.03 | $346.74 | $1,548.82 |
Emblem Health Setting Professional Modifier None Typical Low $478.63 Median $660.69 Typical High $1,023.29 | Professional | None | $478.63 | $660.69 | $1,023.29 |
Geisinger Setting Professional Modifier None Typical Low $398.11 Median $407.38 Typical High $630.96 | Professional | None | $398.11 | $407.38 | $630.96 |
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 $338.84 Median $389.05 Typical High $389.05 | Professional | None | $338.84 | $389.05 | $389.05 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $281.84 Typical High $295.12 | Professional | 54 · Surgery only | $257.04 | $281.84 | $295.12 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $56.23 Typical High $58.88 | Professional | 55 · Aftercare only | $51.29 | $56.23 | $58.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $38.02 Typical High $38.90 | Professional | 56 · Pre-op care only | $33.88 | $38.02 | $38.90 |
Oscar Health Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
UPMC Health Plan Setting Facility Modifier None Typical Low $416.87 Median $446.68 Typical High $446.68 | Facility | None | $416.87 | $446.68 | $446.68 |
UPMC Health Plan Setting Professional Modifier None Typical Low $416.87 Median $426.58 Typical High $446.68 | Professional | None | $416.87 | $426.58 | $446.68 |
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 $309.03 Median $398.11 Typical High $645.65 | Professional | None | $309.03 | $398.11 | $645.65 |
Where Pennsylvania sits
The same service costs 15.1 times more in New York than in Hawaii. 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· 34th of 51
$427
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.