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 $47.86 Median $58.88 Typical High $58.88 | Facility | None | $47.86 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $58.88 | Professional | None | $47.86 | $47.86 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $23.99 Typical High $29.51 | Professional | 52 · Reduced service | $23.99 | $23.99 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $11.75 | Professional | 53 · Discontinued | $9.55 | $9.55 | $11.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $7.24 Typical High $8.91 | Professional | 55 · Aftercare only | $7.24 | $7.24 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $5.89 | Professional | 56 · Pre-op care only | $4.79 | $4.79 | $5.89 |
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 $50.12 Median $51.29 Typical High $51.29 | Professional | None | $50.12 | $51.29 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Emblem Health Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Geisinger Setting Professional Modifier None Typical Low $36.31 Median $38.90 Typical High $66.07 | Professional | None | $36.31 | $38.90 | $66.07 |
Martin's Point Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Martin's Point Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $58.88 | Professional | None | $47.86 | $47.86 | $58.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $23.99 Typical High $29.51 | Professional | 52 · Reduced service | $23.99 | $23.99 | $29.51 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $11.75 | Professional | 53 · Discontinued | $9.55 | $9.55 | $11.75 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $7.24 Typical High $8.91 | Professional | 55 · Aftercare only | $7.24 | $7.24 | $8.91 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $5.89 | Professional | 56 · Pre-op care only | $4.79 | $4.79 | $5.89 |
Oscar Health Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
UPMC Health Plan Setting Facility Modifier None Typical Low $47.86 Median $60.26 Typical High $60.26 | Facility | None | $47.86 | $60.26 | $60.26 |
UPMC Health Plan Setting Professional Modifier None Typical Low $47.86 Median $50.12 Typical High $60.26 | Professional | None | $47.86 | $50.12 | $60.26 |
United Setting Professional Modifier None Typical Low $46.77 Median $57.54 Typical High $102.33 | Professional | None | $46.77 | $57.54 | $102.33 |
Where Pennsylvania sits
The same service costs 2.2 times more in Alaska than in Arizona. 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· 37th of 51
$50.12
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.