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 $676.08 Median $3,890.45 Typical High $8,317.64 | Facility | None | $676.08 | $3,890.45 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $281.84 Typical High $288.40 | Professional | None | $234.42 | $281.84 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $208.93 Typical High $208.93 | Professional | 54 · Surgery only | $177.83 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $41.69 Typical High $41.69 | Professional | 55 · Aftercare only | $35.48 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $28.18 Typical High $28.18 | Professional | 56 · Pre-op care only | $23.44 | $28.18 | $28.18 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $7,413.10 Typical High $56,234.13 | Facility | None | $3,981.07 | $7,413.10 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $263.03 Median $416.87 Typical High $537.03 | Professional | None | $263.03 | $416.87 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,659.59 Typical High $2,754.23 | Facility | None | $524.81 | $1,659.59 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $281.84 Typical High $501.19 | Professional | None | $245.47 | $281.84 | $501.19 |
Emblem Health Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $389.05 | Professional | None | $363.08 | $363.08 | $389.05 |
Geisinger Setting Facility Modifier None Typical Low $1,659.59 Median $2,089.30 Typical High $3,630.78 | Facility | None | $1,659.59 | $2,089.30 | $3,630.78 |
Geisinger Setting Professional Modifier None Typical Low $239.88 Median $323.59 Typical High $512.86 | Professional | None | $239.88 | $323.59 | $512.86 |
Martin's Point Setting Facility Modifier None Typical Low $776.25 Median $3,801.89 Typical High $8,317.64 | Facility | None | $776.25 | $3,801.89 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $234.42 Median $281.84 Typical High $288.40 | Professional | None | $234.42 | $281.84 | $288.40 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $208.93 Typical High $208.93 | Professional | 54 · Surgery only | $177.83 | $208.93 | $208.93 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $41.69 Typical High $41.69 | Professional | 55 · Aftercare only | $35.48 | $41.69 | $41.69 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $28.18 Typical High $28.18 | Professional | 56 · Pre-op care only | $23.44 | $28.18 | $28.18 |
Oscar Health Setting Professional Modifier None Typical Low $281.84 Median $288.40 Typical High $602.56 | Professional | None | $281.84 | $288.40 | $602.56 |
UPMC Health Plan Setting Facility Modifier None Typical Low $257.04 Median $389.05 Typical High $389.05 | Facility | None | $257.04 | $389.05 | $389.05 |
UPMC Health Plan Setting Professional Modifier None Typical Low $257.04 Median $389.05 Typical High $389.05 | Professional | None | $257.04 | $389.05 | $389.05 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $4,897.79 | Facility | None | $812.83 | $1,318.26 | $4,897.79 |
United Setting Professional Modifier None Typical Low $245.47 Median $309.03 Typical High $537.03 | Professional | None | $245.47 | $309.03 | $537.03 |
Where Pennsylvania sits
The same service costs 7.2 times more in Oklahoma than in New York. 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· 39th of 51
$363
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.