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 $218.78 Median $4,897.79 Typical High $8,511.38 | Facility | None | $218.78 | $4,897.79 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $218.78 Typical High $489.78 | Professional | None | $177.83 | $218.78 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $162.18 Typical High $162.18 | Professional | 54 · Surgery only | $131.83 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $32.36 Typical High $32.36 | Professional | 55 · Aftercare only | $26.30 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $21.88 Typical High $21.88 | Professional | 56 · Pre-op care only | $17.78 | $21.88 | $21.88 |
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 $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
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 $190.55 Median $229.09 Typical High $380.19 | Professional | None | $190.55 | $229.09 | $380.19 |
Emblem Health Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $436.52 | Professional | None | $302.00 | $302.00 | $436.52 |
Geisinger Setting Professional Modifier None Typical Low $478.63 Median $512.86 Typical High $870.96 | Professional | None | $478.63 | $512.86 | $870.96 |
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 $177.83 Median $218.78 Typical High $489.78 | Professional | None | $177.83 | $218.78 | $489.78 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $162.18 Typical High $162.18 | Professional | 54 · Surgery only | $131.83 | $162.18 | $162.18 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $32.36 Typical High $32.36 | Professional | 55 · Aftercare only | $26.30 | $32.36 | $32.36 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $21.88 Typical High $21.88 | Professional | 56 · Pre-op care only | $17.78 | $21.88 | $21.88 |
Oscar Health Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $309.03 | Professional | None | $199.53 | $199.53 | $309.03 |
UPMC Health Plan Setting Facility Modifier None Typical Low $275.42 Median $446.68 Typical High $446.68 | Facility | None | $275.42 | $446.68 | $446.68 |
UPMC Health Plan Setting Professional Modifier None Typical Low $275.42 Median $446.68 Typical High $446.68 | Professional | None | $275.42 | $446.68 | $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 $162.18 Median $309.03 Typical High $549.54 | Professional | None | $162.18 | $309.03 | $549.54 |
Where Pennsylvania sits
The same service costs 10.5 times more in North Dakota than in Kentucky. 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· 38th of 51
$282
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.