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 $251.19 Median $4,897.79 Typical High $8,511.38 | Facility | None | $251.19 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $251.19 Typical High $257.04 | Professional | None | $223.87 | $251.19 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $190.55 Typical High $190.55 | Professional | 54 · Surgery only | $165.96 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $38.02 Typical High $38.02 | Professional | 55 · Aftercare only | $33.11 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $25.12 Typical High $25.12 | Professional | 56 · Pre-op care only | $21.88 | $25.12 | $25.12 |
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 $223.87 Median $239.88 Typical High $1,348.96 | Professional | None | $223.87 | $239.88 | $1,348.96 |
Emblem Health Setting Professional Modifier None Typical Low $218.78 Median $331.13 Typical High $524.81 | Professional | None | $218.78 | $331.13 | $524.81 |
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 $223.87 Median $251.19 Typical High $251.19 | Professional | None | $223.87 | $251.19 | $251.19 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $181.97 Typical High $190.55 | Professional | 54 · Surgery only | $165.96 | $181.97 | $190.55 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $36.31 Typical High $38.02 | Professional | 55 · Aftercare only | $33.11 | $36.31 | $38.02 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $24.55 Typical High $25.12 | Professional | 56 · Pre-op care only | $21.88 | $24.55 | $25.12 |
Oscar Health Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $416.87 | Facility | None | $346.74 | $346.74 | $416.87 |
UPMC Health Plan Setting Professional Modifier None Typical Low $346.74 Median $407.38 Typical High $416.87 | Professional | None | $346.74 | $407.38 | $416.87 |
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 $208.93 Median $398.11 Typical High $602.56 | Professional | None | $208.93 | $398.11 | $602.56 |
Where Pennsylvania sits
The same service costs 8.1 times more in New York than in Missouri. 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· 13th 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.