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 $371.54 Median $407.38 Typical High $537.03 | Facility | None | $371.54 | $407.38 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $457.09 Typical High $660.69 | Professional | None | $354.81 | $457.09 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $223.87 Typical High $269.15 | Professional | 52 · Reduced service | $177.83 | $223.87 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $67.61 Typical High $79.43 | Professional | 55 · Aftercare only | $53.70 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $44.67 Typical High $53.70 | Professional | 56 · Pre-op care only | $35.48 | $44.67 | $53.70 |
Ambetter Setting Professional Modifier None Typical Low $707.95 Median $851.14 Typical High $891.25 | Professional | None | $707.95 | $851.14 | $891.25 |
AmeriHealth Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $691.83 | Professional | None | $588.84 | $588.84 | $691.83 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $5,011.87 Typical High $56,234.13 | Facility | None | $3,981.07 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $562.34 Median $851.14 Typical High $1,000.00 | Professional | None | $562.34 | $851.14 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $794.33 Typical High $2,691.53 | Facility | None | $457.09 | $794.33 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $891.25 | Professional | None | $380.19 | $537.03 | $891.25 |
Emblem Health Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $912.01 | Professional | None | $549.54 | $758.58 | $912.01 |
Geisinger Setting Professional Modifier None Typical Low $346.74 Median $588.84 Typical High $977.24 | Professional | None | $346.74 | $588.84 | $977.24 |
Independence Blue Cross Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $691.83 | Professional | None | $588.84 | $588.84 | $691.83 |
Martin's Point Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $537.03 | Facility | None | $407.38 | $407.38 | $537.03 |
Martin's Point Setting Professional Modifier None Typical Low $354.81 Median $457.09 Typical High $676.08 | Professional | None | $354.81 | $457.09 | $676.08 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $223.87 Typical High $269.15 | Professional | 52 · Reduced service | $177.83 | $223.87 | $269.15 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $67.61 Typical High $79.43 | Professional | 55 · Aftercare only | $53.70 | $67.61 | $79.43 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $44.67 Typical High $53.70 | Professional | 56 · Pre-op care only | $35.48 | $44.67 | $53.70 |
Oscar Health Setting Professional Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,000.00 | Professional | None | $645.65 | $1,000.00 | $1,000.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $38.90 Median $75.86 Typical High $524.81 | Facility | None | $38.90 | $75.86 | $524.81 |
UPMC Health Plan Setting Professional Modifier None Typical Low $354.81 Median $524.81 Typical High $549.54 | Professional | None | $354.81 | $524.81 | $549.54 |
United Setting Facility Modifier None Typical Low $199.53 Median $524.81 Typical High $3,890.45 | Facility | None | $199.53 | $524.81 | $3,890.45 |
United Setting Professional Modifier None Typical Low $354.81 Median $478.63 Typical High $794.33 | Professional | None | $354.81 | $478.63 | $794.33 |
Where Pennsylvania sits
The same service costs 3.1 times more in Alaska than in Indiana. 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
$513
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.