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 $114.82 Median $128.82 Typical High $128.82 | Facility | None | $114.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $128.82 | Professional | None | $114.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $97.72 Typical High $97.72 | Professional | 54 · Surgery only | $87.10 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $19.50 Typical High $19.50 | Professional | 55 · Aftercare only | $17.38 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $12.88 Typical High $12.88 | Professional | 56 · Pre-op care only | $11.48 | $12.88 | $12.88 |
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 $151.36 Median $162.18 Typical High $165.96 | Professional | None | $151.36 | $162.18 | $165.96 |
Geisinger Setting Facility Modifier None Typical Low $380.19 Median $467.74 Typical High $831.76 | Facility | None | $380.19 | $467.74 | $831.76 |
Geisinger Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Martin's Point Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Martin's Point Setting Professional Modifier None Typical Low $114.82 Median $128.82 Typical High $128.82 | Professional | None | $114.82 | $128.82 | $128.82 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $97.72 Typical High $97.72 | Professional | 54 · Surgery only | $87.10 | $97.72 | $97.72 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $19.50 Typical High $19.50 | Professional | 55 · Aftercare only | $17.38 | $19.50 | $19.50 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $12.88 Typical High $12.88 | Professional | 56 · Pre-op care only | $11.48 | $12.88 | $12.88 |
Oscar Health Setting Professional Modifier None Typical Low $151.36 Median $331.13 Typical High $331.13 | Professional | None | $151.36 | $331.13 | $331.13 |
Where Pennsylvania sits
The same service costs 16.2 times more in Minnesota 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· 31st of 51
$162
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.