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 $58.88 Median $66.07 Typical High $66.07 | Facility | None | $58.88 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $66.07 | Professional | None | $58.88 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | 54 · Surgery only | $44.67 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $10.00 Typical High $10.00 | Professional | 55 · Aftercare only | $8.91 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $6.61 Typical High $6.61 | Professional | 56 · Pre-op care only | $5.89 | $6.61 | $6.61 |
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 $38.90 Median $41.69 Typical High $42.66 | Professional | None | $38.90 | $41.69 | $42.66 |
Geisinger Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Martin's Point Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Martin's Point Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $66.07 | Professional | None | $58.88 | $66.07 | $66.07 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | 54 · Surgery only | $44.67 | $50.12 | $50.12 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $10.00 Typical High $10.00 | Professional | 55 · Aftercare only | $8.91 | $10.00 | $10.00 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $6.61 Typical High $6.61 | Professional | 56 · Pre-op care only | $5.89 | $6.61 | $6.61 |
Oscar Health Setting Professional Modifier None Typical Low $85.11 Median $123.03 Typical High $123.03 | Professional | None | $85.11 | $123.03 | $123.03 |
Where Pennsylvania sits
The same service costs 123.0 times more in Alabama 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· 50th of 51
$42.66
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.