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 $147.91 Median $501.19 Typical High $1,412.54 | Facility | None | $147.91 | $501.19 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $162.18 | Professional | None | $147.91 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $74.13 Typical High $81.28 | Professional | 52 · Reduced service | $74.13 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.20 Typical High $32.36 | Professional | 53 · Discontinued | $29.51 | $30.20 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $24.55 | Professional | 55 · Aftercare only | $22.39 | $22.39 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $16.22 | Professional | 56 · Pre-op care only | $14.79 | $14.79 | $16.22 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1,071.52 Median $5,011.87 Typical High $56,234.13 | Facility | None | $1,071.52 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $151.36 Median $263.03 Typical High $346.74 | Professional | None | $151.36 | $263.03 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $912.01 Typical High $1,412.54 | Facility | None | $380.19 | $912.01 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $190.55 Typical High $316.23 | Professional | None | $154.88 | $190.55 | $316.23 |
Emblem Health Setting Professional Modifier None Typical Low $208.93 Median $275.42 Typical High $371.54 | Professional | None | $208.93 | $275.42 | $371.54 |
Geisinger Setting Professional Modifier None Typical Low $165.96 Median $208.93 Typical High $371.54 | Professional | None | $165.96 | $208.93 | $371.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Martin's Point Setting Facility Modifier None Typical Low $147.91 Median $489.78 Typical High $1,479.11 | Facility | None | $147.91 | $489.78 | $1,479.11 |
Martin's Point Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $74.13 | $74.13 | $74.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $29.51 | $30.20 | $30.20 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 55 · Aftercare only | $22.39 | $22.39 | $22.39 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 56 · Pre-op care only | $14.79 | $14.79 | $14.79 |
Oscar Health Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $398.11 | Professional | None | $69.18 | $69.18 | $398.11 |
UPMC Health Plan Setting Facility Modifier None Typical Low $48.98 Median $158.49 Typical High $229.09 | Facility | None | $48.98 | $158.49 | $229.09 |
UPMC Health Plan Setting Professional Modifier None Typical Low $48.98 Median $158.49 Typical High $229.09 | Professional | None | $48.98 | $158.49 | $229.09 |
United Setting Facility Modifier None Typical Low $457.09 Median $977.24 Typical High $1,122.02 | Facility | None | $457.09 | $977.24 | $1,122.02 |
United Setting Professional Modifier None Typical Low $151.36 Median $169.82 Typical High $263.03 | Professional | None | $151.36 | $169.82 | $263.03 |
Where Pennsylvania sits
The same service costs 2.9 times more in Alaska than in Florida. 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· 43rd of 51
$174
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.