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 $208.93 Median $426.58 Typical High $831.76 | Facility | None | $208.93 | $426.58 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $512.86 | Professional | None | $338.84 | $338.84 | $512.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $33.88 |
Ambetter Setting Professional Modifier None Typical Low $323.59 Median $512.86 Typical High $630.96 | Professional | None | $323.59 | $512.86 | $630.96 |
AmeriHealth Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $371.54 | Facility | None | $323.59 | $323.59 | $371.54 |
AmeriHealth Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $371.54 | Professional | None | $346.74 | $346.74 | $371.54 |
Capital Blue Cross Setting Facility Modifier None Typical Low $316.23 Median $363.08 Typical High $426.58 | Facility | None | $316.23 | $363.08 | $426.58 |
Capital Blue Cross Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $588.84 Typical High $1,348.96 | Facility | None | $354.81 | $588.84 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Geisinger Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Geisinger Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $616.60 | Professional | None | $512.86 | $512.86 | $616.60 |
Highmark BCBS Setting Facility Modifier None Typical Low $125.89 Median $316.23 Typical High $1,380.38 | Facility | None | $125.89 | $316.23 | $1,380.38 |
Independence Blue Cross Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $354.81 | Facility | None | $309.03 | $309.03 | $354.81 |
Independence Blue Cross Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Martin's Point Setting Facility Modifier None Typical Low $169.82 Median $446.68 Typical High $831.76 | Facility | None | $169.82 | $446.68 | $831.76 |
Martin's Point Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $524.81 | Professional | None | $338.84 | $338.84 | $524.81 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $169.82 | $169.82 | $169.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $67.61 | $67.61 | $67.61 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $51.29 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $33.88 |
Oscar Health Setting Facility Modifier None Typical Low $446.68 Median $467.74 Typical High $575.44 | Facility | None | $446.68 | $467.74 | $575.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $281.84 Median $398.11 Typical High $416.87 | Facility | None | $281.84 | $398.11 | $416.87 |
UPMC Health Plan Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $331.13 | Professional | None | $281.84 | $281.84 | $331.13 |
United Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $338.84 | Facility | None | $323.59 | $323.59 | $338.84 |
United Setting Professional Modifier None Typical Low $316.23 Median $389.05 Typical High $457.09 | Professional | None | $316.23 | $389.05 | $457.09 |
Where Pennsylvania sits
The same service costs 2.9 times more in Arizona than in Alabama. 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· 31st of 51
$347
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.