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 $173.78 Median $194.98 Typical High $194.98 | Facility | None | $173.78 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $194.98 Typical High $194.98 | Professional | None | $173.78 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $144.54 Typical High $144.54 | Professional | 54 · Surgery only | $128.82 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $25.70 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $19.50 Typical High $19.50 | Professional | 56 · Pre-op care only | $17.38 | $19.50 | $19.50 |
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 $128.82 Median $138.04 Typical High $141.25 | Professional | None | $128.82 | $138.04 | $141.25 |
Geisinger Setting Facility Modifier None Typical Low $645.65 Median $794.33 Typical High $1,412.54 | Facility | None | $645.65 | $794.33 | $1,412.54 |
Geisinger Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Martin's Point Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Martin's Point Setting Professional Modifier None Typical Low $173.78 Median $194.98 Typical High $194.98 | Professional | None | $173.78 | $194.98 | $194.98 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $144.54 Typical High $144.54 | Professional | 54 · Surgery only | $128.82 | $144.54 | $144.54 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $25.70 | $28.84 | $28.84 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $19.50 Typical High $19.50 | Professional | 56 · Pre-op care only | $17.38 | $19.50 | $19.50 |
Oscar Health Setting Professional Modifier None Typical Low $263.03 Median $281.84 Typical High $281.84 | Professional | None | $263.03 | $281.84 | $281.84 |
Where Pennsylvania sits
The same service costs 17.8 times more in Texas 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· 44th of 51
$141
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.