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 $66.07 Median $79.43 Typical High $1,412.54 | Facility | None | $66.07 | $79.43 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $77.62 Typical High $81.28 | Professional | None | $66.07 | $77.62 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $38.90 Typical High $39.81 | Professional | 52 · Reduced service | $33.11 | $38.90 | $39.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $11.75 Typical High $12.02 | Professional | 55 · Aftercare only | $10.00 | $11.75 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $7.76 Typical High $8.13 | Professional | 56 · Pre-op care only | $6.61 | $7.76 | $8.13 |
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 $102.33 Median $162.18 Typical High $204.17 | Professional | None | $102.33 | $162.18 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $104.71 Typical High $144.54 | Professional | None | $79.43 | $104.71 | $144.54 |
Emblem Health Setting Professional Modifier None Typical Low $123.03 Median $158.49 Typical High $208.93 | Professional | None | $123.03 | $158.49 | $208.93 |
Geisinger Setting Professional Modifier None Typical Low $102.33 Median $117.49 Typical High $218.78 | Professional | None | $102.33 | $117.49 | $218.78 |
Martin's Point Setting Facility Modifier None Typical Low $66.07 Median $79.43 Typical High $794.33 | Facility | None | $66.07 | $79.43 | $794.33 |
Martin's Point Setting Professional Modifier None Typical Low $66.07 Median $75.86 Typical High $81.28 | Professional | None | $66.07 | $75.86 | $81.28 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $38.02 Typical High $39.81 | Professional | 52 · Reduced service | $33.11 | $38.02 | $39.81 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $11.48 Typical High $12.02 | Professional | 55 · Aftercare only | $10.00 | $11.48 | $12.02 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $7.59 Typical High $8.13 | Professional | 56 · Pre-op care only | $6.61 | $7.59 | $8.13 |
Oscar Health Setting Professional Modifier None Typical Low $158.49 Median $251.19 Typical High $251.19 | Professional | None | $158.49 | $251.19 | $251.19 |
UPMC Health Plan Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
United Setting Professional Modifier None Typical Low $77.62 Median $91.20 Typical High $141.25 | Professional | None | $77.62 | $91.20 | $141.25 |
Where Pennsylvania sits
The same service costs 2.5 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· 30th of 51
$102
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.