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 $478.63 Median $537.03 Typical High $1,862.09 | Facility | None | $478.63 | $537.03 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $489.78 Typical High $537.03 | Professional | None | $467.74 | $489.78 | $537.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $245.47 Typical High $269.15 | Professional | 52 · Reduced service | $229.09 | $245.47 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $97.72 Typical High $107.15 | Professional | 53 · Discontinued | $93.33 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $72.44 Typical High $79.43 | Professional | 55 · Aftercare only | $69.18 | $72.44 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $48.98 Typical High $53.70 | Professional | 56 · Pre-op care only | $46.77 | $48.98 | $53.70 |
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 $501.19 Median $707.95 Typical High $891.25 | Professional | None | $501.19 | $707.95 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $467.74 Typical High $912.01 | Professional | None | $436.52 | $467.74 | $912.01 |
Emblem Health Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $1,096.48 | Professional | None | $602.56 | $776.25 | $1,096.48 |
Geisinger Setting Professional Modifier None Typical Low $446.68 Median $537.03 Typical High $891.25 | Professional | None | $446.68 | $537.03 | $891.25 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $1,862.09 | Facility | None | $537.03 | $537.03 | $1,862.09 |
Martin's Point Setting Professional Modifier None Typical Low $467.74 Median $489.78 Typical High $537.03 | Professional | None | $467.74 | $489.78 | $537.03 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $234.42 Median $245.47 Typical High $269.15 | Professional | 52 · Reduced service | $234.42 | $245.47 | $269.15 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $97.72 Typical High $107.15 | Professional | 53 · Discontinued | $93.33 | $97.72 | $107.15 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $72.44 Typical High $79.43 | Professional | 55 · Aftercare only | $69.18 | $72.44 | $79.43 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $48.98 Typical High $53.70 | Professional | 56 · Pre-op care only | $46.77 | $48.98 | $53.70 |
Oscar Health Setting Professional Modifier None Typical Low $323.59 Median $338.84 Typical High $891.25 | Professional | None | $323.59 | $338.84 | $891.25 |
UPMC Health Plan Setting Facility Modifier None Typical Low $426.58 Median $489.78 Typical High $489.78 | Facility | None | $426.58 | $489.78 | $489.78 |
UPMC Health Plan Setting Professional Modifier None Typical Low $426.58 Median $467.74 Typical High $489.78 | Professional | None | $426.58 | $467.74 | $489.78 |
United Setting Professional Modifier None Typical Low $371.54 Median $416.87 Typical High $707.95 | Professional | None | $371.54 | $416.87 | $707.95 |
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· 35th of 51
$513
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.