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 $645.65 Median $3,090.30 Typical High $8,511.38 | Facility | None | $645.65 | $3,090.30 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $562.34 Typical High $602.56 | Professional | None | $512.86 | $562.34 | $602.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $281.84 Typical High $302.00 | Professional | 52 · Reduced service | $257.04 | $281.84 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $112.20 Typical High $120.23 | Professional | 53 · Discontinued | $102.33 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $426.58 Typical High $446.68 | Professional | 54 · Surgery only | $380.19 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $85.11 Typical High $89.13 | Professional | 55 · Aftercare only | $75.86 | $85.11 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $56.23 Typical High $60.26 | Professional | 56 · Pre-op care only | $51.29 | $56.23 | $60.26 |
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 $870.96 Median $933.25 Typical High $56,234.13 | Professional | None | $870.96 | $933.25 | $56,234.13 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $588.84 Typical High $977.24 | Facility | None | $436.52 | $588.84 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $602.56 Typical High $1,258.93 | Professional | None | $562.34 | $602.56 | $1,258.93 |
Emblem Health Setting Professional Modifier None Typical Low $645.65 Median $891.25 Typical High $891.25 | Professional | None | $645.65 | $891.25 | $891.25 |
Geisinger Setting Professional Modifier None Typical Low $501.19 Median $676.08 Typical High $1,258.93 | Professional | None | $501.19 | $676.08 | $1,258.93 |
Martin's Point Setting Facility Modifier None Typical Low $724.44 Median $2,754.23 Typical High $8,317.64 | Facility | None | $724.44 | $2,754.23 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $512.86 Median $549.54 Typical High $602.56 | Professional | None | $512.86 | $549.54 | $602.56 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $275.42 Typical High $302.00 | Professional | 52 · Reduced service | $257.04 | $275.42 | $302.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $109.65 Typical High $120.23 | Professional | 53 · Discontinued | $102.33 | $109.65 | $120.23 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $407.38 Typical High $446.68 | Professional | 54 · Surgery only | $380.19 | $407.38 | $446.68 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $81.28 Typical High $89.13 | Professional | 55 · Aftercare only | $75.86 | $81.28 | $89.13 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $54.95 Typical High $60.26 | Professional | 56 · Pre-op care only | $51.29 | $54.95 | $60.26 |
Oscar Health Setting Professional Modifier None Typical Low $660.69 Median $794.33 Typical High $1,202.26 | Professional | None | $660.69 | $794.33 | $1,202.26 |
UPMC Health Plan Setting Facility Modifier None Typical Low $575.44 Median $1,513.56 Typical High $2,630.27 | Facility | None | $575.44 | $1,513.56 | $2,630.27 |
UPMC Health Plan Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $602.56 | Professional | None | $575.44 | $602.56 | $602.56 |
United Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $1,230.27 | Facility | None | $70.79 | $141.25 | $1,230.27 |
United Setting Professional Modifier None Typical Low $549.54 Median $794.33 Typical High $977.24 | Professional | None | $549.54 | $794.33 | $977.24 |
Where Pennsylvania sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 44th of 51
$603
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.