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 $186.21 Median $2,344.23 Typical High $8,317.64 | Facility | None | $186.21 | $2,344.23 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $186.21 | Professional | None | $114.82 | $154.88 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $77.62 Typical High $93.33 | Professional | 52 · Reduced service | $57.54 | $77.62 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $30.90 Typical High $37.15 | Professional | 53 · Discontinued | $22.91 | $30.90 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $117.49 Typical High $141.25 | Professional | 54 · Surgery only | $87.10 | $117.49 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $23.44 Typical High $28.18 | Professional | 55 · Aftercare only | $17.38 | $23.44 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $15.49 Typical High $18.62 | Professional | 56 · Pre-op care only | $11.48 | $15.49 | $18.62 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,511.89 Median $2,570.40 Typical High $56,234.13 | Facility | None | $2,511.89 | $2,570.40 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $177.83 Median $186.21 Typical High $346.74 | Professional | None | $177.83 | $186.21 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $162.18 Typical High $676.08 | Facility | None | $79.43 | $162.18 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $177.83 Typical High $288.40 | Professional | None | $128.82 | $177.83 | $288.40 |
Emblem Health Setting Professional Modifier None Typical Low $239.88 Median $331.13 Typical High $331.13 | Professional | None | $239.88 | $331.13 | $331.13 |
Geisinger Setting Facility Modifier None Typical Low $102.33 Median $125.89 Typical High $223.87 | Facility | None | $102.33 | $125.89 | $223.87 |
Geisinger Setting Professional Modifier None Typical Low $128.82 Median $190.55 Typical High $331.13 | Professional | None | $128.82 | $190.55 | $331.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $194.98 Median $309.03 Typical High $3,467.37 | Facility | None | $194.98 | $309.03 | $3,467.37 |
Martin's Point Setting Facility Modifier None Typical Low $478.63 Median $2,137.96 Typical High $7,244.36 | Facility | None | $478.63 | $2,137.96 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $186.21 | Professional | None | $114.82 | $154.88 | $186.21 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $77.62 Typical High $93.33 | Professional | 52 · Reduced service | $57.54 | $77.62 | $93.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $30.90 Typical High $37.15 | Professional | 53 · Discontinued | $22.91 | $30.90 | $37.15 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $117.49 Typical High $141.25 | Professional | 54 · Surgery only | $87.10 | $117.49 | $141.25 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $23.44 Typical High $28.18 | Professional | 55 · Aftercare only | $17.38 | $23.44 | $28.18 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $15.49 Typical High $18.62 | Professional | 56 · Pre-op care only | $11.48 | $15.49 | $18.62 |
Oscar Health Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $323.59 | Professional | None | $190.55 | $190.55 | $323.59 |
UPMC Health Plan Setting Facility Modifier None Typical Low $128.82 Median $147.91 Typical High $186.21 | Facility | None | $128.82 | $147.91 | $186.21 |
UPMC Health Plan Setting Professional Modifier None Typical Low $128.82 Median $177.83 Typical High $186.21 | Professional | None | $128.82 | $177.83 | $186.21 |
United Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $2,089.30 | Facility | None | $199.53 | $436.52 | $2,089.30 |
United Setting Professional Modifier None Typical Low $138.04 Median $199.53 Typical High $281.84 | Professional | None | $138.04 | $199.53 | $281.84 |
Where Pennsylvania sits
The same service costs 3.6 times more in Alaska 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· 40th of 51
$178
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.