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 $3,890.45 Median $5,011.87 Typical High $14,125.38 | Facility | None | $3,890.45 | $5,011.87 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | 52 · Reduced service | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | 53 · Discontinued | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 55 · Aftercare only | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 56 · Pre-op care only | $389.05 | $389.05 | $389.05 |
AmeriHealth Setting Facility Modifier None Typical Low $21,379.62 Median $128,824.96 Typical High $269,153.48 | Facility | None | $21,379.62 | $128,824.96 | $269,153.48 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
Highmark BCBS Setting Facility Modifier None Typical Low $707.95 Median $2,398.83 Typical High $7,762.47 | Facility | None | $707.95 | $2,398.83 | $7,762.47 |
Independence Blue Cross Setting Facility Modifier None Typical Low $8,912.51 Median $22,387.21 Typical High $151,356.12 | Facility | None | $8,912.51 | $22,387.21 | $151,356.12 |
Martin's Point Setting Facility Modifier None Typical Low $3,890.45 Median $5,623.41 Typical High $14,125.38 | Facility | None | $3,890.45 | $5,623.41 | $14,125.38 |
Martin's Point Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | 52 · Reduced service | $1,949.84 | $1,949.84 | $1,949.84 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | 53 · Discontinued | $776.25 | $776.25 | $776.25 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 55 · Aftercare only | $575.44 | $575.44 | $575.44 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 56 · Pre-op care only | $389.05 | $389.05 | $389.05 |
Oscar Health Setting Facility Modifier None Typical Low $6,309.57 Median $9,772.37 Typical High $20,892.96 | Facility | None | $6,309.57 | $9,772.37 | $20,892.96 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2,754.23 Median $3,801.89 Typical High $6,165.95 | Facility | None | $2,754.23 | $3,801.89 | $6,165.95 |
Where Pennsylvania sits
The same service costs 389.0 times more in Maryland than in Connecticut. 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· 5th of 51
$3,890
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.