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 $691.83 Median $3,090.30 Typical High $8,511.38 | Facility | None | $691.83 | $3,090.30 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $645.65 Typical High $691.83 | Professional | None | $588.84 | $645.65 | $691.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $323.59 Typical High $346.74 | Professional | 52 · Reduced service | $295.12 | $323.59 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $128.82 Typical High $138.04 | Professional | 53 · Discontinued | $117.49 | $128.82 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $489.78 Typical High $512.86 | Professional | 54 · Surgery only | $446.68 | $489.78 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $97.72 Typical High $104.71 | Professional | 55 · Aftercare only | $89.13 | $97.72 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $64.57 Typical High $69.18 | Professional | 56 · Pre-op care only | $58.88 | $64.57 | $69.18 |
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 $1,288.25 Median $1,288.25 Typical High $1,318.26 | Professional | None | $1,288.25 | $1,288.25 | $1,318.26 |
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 $660.69 Median $691.83 Typical High $1,445.44 | Professional | None | $660.69 | $691.83 | $1,445.44 |
Emblem Health Setting Professional Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,023.29 | Professional | None | $758.58 | $1,023.29 | $1,023.29 |
Geisinger Setting Professional Modifier None Typical Low $575.44 Median $776.25 Typical High $1,380.38 | Professional | None | $575.44 | $776.25 | $1,380.38 |
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 $588.84 Median $630.96 Typical High $691.83 | Professional | None | $588.84 | $630.96 | $691.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $316.23 Typical High $346.74 | Professional | 52 · Reduced service | $295.12 | $316.23 | $346.74 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $125.89 Typical High $138.04 | Professional | 53 · Discontinued | $117.49 | $125.89 | $138.04 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $467.74 Typical High $512.86 | Professional | 54 · Surgery only | $446.68 | $467.74 | $512.86 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $95.50 Typical High $104.71 | Professional | 55 · Aftercare only | $89.13 | $95.50 | $104.71 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $63.10 Typical High $69.18 | Professional | 56 · Pre-op care only | $58.88 | $63.10 | $69.18 |
Oscar Health Setting Professional Modifier None Typical Low $776.25 Median $912.01 Typical High $1,380.38 | Professional | None | $776.25 | $912.01 | $1,380.38 |
UPMC Health Plan Setting Facility Modifier None Typical Low $660.69 Median $1,513.56 Typical High $2,630.27 | Facility | None | $660.69 | $1,513.56 | $2,630.27 |
UPMC Health Plan Setting Professional Modifier None Typical Low $660.69 Median $691.83 Typical High $691.83 | Professional | None | $660.69 | $691.83 | $691.83 |
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 $645.65 Median $912.01 Typical High $1,148.15 | Professional | None | $645.65 | $912.01 | $1,148.15 |
Where Pennsylvania sits
The same service costs 4.7 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
$692
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.