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 $57.54 Median $69.18 Typical High $1,862.09 | Facility | None | $57.54 | $69.18 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $58.88 Typical High $69.18 | Professional | None | $57.54 | $58.88 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $29.51 Typical High $34.67 | Professional | 52 · Reduced service | $28.84 | $29.51 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.75 Typical High $14.13 | Professional | 53 · Discontinued | $11.48 | $11.75 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.91 Typical High $10.47 | Professional | 55 · Aftercare only | $8.71 | $8.91 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.89 Typical High $6.92 | Professional | 56 · Pre-op care only | $5.75 | $5.89 | $6.92 |
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 $66.07 Median $67.61 Typical High $67.61 | Professional | None | $66.07 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $63.10 Typical High $114.82 | Professional | None | $51.29 | $63.10 | $114.82 |
Emblem Health Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Geisinger Setting Professional Modifier None Typical Low $50.12 Median $58.88 Typical High $112.20 | Professional | None | $50.12 | $58.88 | $112.20 |
Martin's Point Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $1,862.09 | Facility | None | $69.18 | $69.18 | $1,862.09 |
Martin's Point Setting Professional Modifier None Typical Low $57.54 Median $58.88 Typical High $69.18 | Professional | None | $57.54 | $58.88 | $69.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $29.51 Typical High $34.67 | Professional | 52 · Reduced service | $28.84 | $29.51 | $34.67 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.75 Typical High $14.13 | Professional | 53 · Discontinued | $11.48 | $11.75 | $14.13 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.91 Typical High $10.47 | Professional | 55 · Aftercare only | $8.71 | $8.91 | $10.47 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.89 Typical High $6.92 | Professional | 56 · Pre-op care only | $5.75 | $5.89 | $6.92 |
UPMC Health Plan Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $66.07 | Facility | None | $56.23 | $56.23 | $66.07 |
UPMC Health Plan Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $66.07 | Professional | None | $56.23 | $56.23 | $66.07 |
United Setting Professional Modifier None Typical Low $52.48 Median $66.07 Typical High $120.23 | Professional | None | $52.48 | $66.07 | $120.23 |
Where Pennsylvania sits
The same service costs 3.2 times more in Alaska than in Kentucky. 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· 33rd of 51
$66.07
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.