How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $91.20 Median $112.20 Typical High $1,412.54 | Facility | None | $91.20 | $112.20 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $112.20 Typical High $123.03 | Professional | None | $85.11 | $112.20 | $123.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $53.70 Typical High $61.66 | Professional | 52 · Reduced service | $42.66 | $53.70 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $21.88 Typical High $24.55 | Professional | 53 · Discontinued | $16.98 | $21.88 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $16.22 Typical High $18.62 | Professional | 55 · Aftercare only | $12.88 | $16.22 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $10.72 Typical High $12.30 | Professional | 56 · Pre-op care only | $8.51 | $10.72 | $12.30 |
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 $123.03 Median $125.89 Typical High $125.89 | Professional | None | $123.03 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $100.00 Typical High $134.90 | Professional | None | $64.57 | $100.00 | $134.90 |
Emblem Health Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $194.98 | Professional | None | $141.25 | $141.25 | $194.98 |
Geisinger Setting Professional Modifier None Typical Low $97.72 Median $125.89 Typical High $204.17 | Professional | None | $97.72 | $125.89 | $204.17 |
Highmark BCBS Setting Professional Modifier None Typical Low $141.25 Median $147.91 Typical High $158.49 | Professional | None | $141.25 | $147.91 | $158.49 |
Martin's Point Setting Facility Modifier None Typical Low $91.20 Median $123.03 Typical High $1,862.09 | Facility | None | $91.20 | $123.03 | $1,862.09 |
Martin's Point Setting Professional Modifier None Typical Low $85.11 Median $109.65 Typical High $123.03 | Professional | None | $85.11 | $109.65 | $123.03 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $52.48 Typical High $61.66 | Professional | 52 · Reduced service | $42.66 | $52.48 | $61.66 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $20.89 Typical High $24.55 | Professional | 53 · Discontinued | $16.98 | $20.89 | $24.55 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $15.85 Typical High $18.62 | Professional | 55 · Aftercare only | $12.88 | $15.85 | $18.62 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $10.47 Typical High $12.30 | Professional | 56 · Pre-op care only | $8.51 | $10.47 | $12.30 |
Oscar Health Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
UPMC Health Plan Setting Facility Modifier None Typical Low $87.10 Median $93.33 Typical High $123.03 | Facility | None | $87.10 | $93.33 | $123.03 |
UPMC Health Plan Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $123.03 | Professional | None | $87.10 | $107.15 | $123.03 |
United Setting Professional Modifier None Typical Low $93.33 Median $107.15 Typical High $131.83 | Professional | None | $93.33 | $107.15 | $131.83 |
Where Pennsylvania sits
The same service costs 4.1 times more in Alaska than in New Jersey. 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· 25th of 51
$112
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.