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 $741.31 Median $812.83 Typical High $1,862.09 | Facility | None | $741.31 | $812.83 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $812.83 | Professional | None | $691.83 | $741.31 | $812.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $371.54 Typical High $407.38 | Professional | 52 · Reduced service | $346.74 | $371.54 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $151.36 Typical High $162.18 | Professional | 53 · Discontinued | $138.04 | $151.36 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $112.20 Typical High $123.03 | Professional | 55 · Aftercare only | $104.71 | $112.20 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $74.13 Typical High $81.28 | Professional | 56 · Pre-op care only | $69.18 | $74.13 | $81.28 |
Ambetter Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $758.58 Median $1,071.52 Typical High $1,348.96 | Professional | None | $758.58 | $1,071.52 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $724.44 Typical High $1,380.38 | Professional | None | $645.65 | $724.44 | $1,380.38 |
Emblem Health Setting Professional Modifier None Typical Low $933.25 Median $1,202.26 Typical High $1,659.59 | Professional | None | $933.25 | $1,202.26 | $1,659.59 |
Geisinger Setting Professional Modifier None Typical Low $660.69 Median $831.76 Typical High $1,348.96 | Professional | None | $660.69 | $831.76 | $1,348.96 |
Highmark BCBS Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $912.01 | Professional | None | $851.14 | $851.14 | $912.01 |
Martin's Point Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $1,862.09 | Facility | None | $812.83 | $812.83 | $1,862.09 |
Martin's Point Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $812.83 | Professional | None | $707.95 | $741.31 | $812.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $371.54 Typical High $407.38 | Professional | 52 · Reduced service | $354.81 | $371.54 | $407.38 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $151.36 Typical High $162.18 | Professional | 53 · Discontinued | $144.54 | $151.36 | $162.18 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $112.20 Typical High $123.03 | Professional | 55 · Aftercare only | $107.15 | $112.20 | $123.03 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $74.13 Typical High $81.28 | Professional | 56 · Pre-op care only | $70.79 | $74.13 | $81.28 |
Oscar Health Setting Professional Modifier None Typical Low $478.63 Median $501.19 Typical High $1,318.26 | Professional | None | $478.63 | $501.19 | $1,318.26 |
UPMC Health Plan Setting Facility Modifier None Typical Low $630.96 Median $758.58 Typical High $758.58 | Facility | None | $630.96 | $758.58 | $758.58 |
UPMC Health Plan Setting Professional Modifier None Typical Low $630.96 Median $707.95 Typical High $758.58 | Professional | None | $630.96 | $707.95 | $758.58 |
United Setting Professional Modifier None Typical Low $549.54 Median $616.60 Typical High $1,071.52 | Professional | None | $549.54 | $616.60 | $1,071.52 |
Where Pennsylvania sits
The same service costs 3.2 times more in Alaska than in New York. 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· 32nd of 51
$794
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.