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 $112.20 Median $134.90 Typical High $134.90 | Facility | None | $112.20 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $134.90 | Professional | None | $112.20 | $112.20 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $67.61 | Professional | 52 · Reduced service | $56.23 | $56.23 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $26.92 | Professional | 53 · Discontinued | $22.39 | $22.39 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $20.42 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.22 Typical High $13.49 | Professional | 56 · Pre-op care only | $11.22 | $11.22 | $13.49 |
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 $120.23 Median $125.89 Typical High $125.89 | Professional | None | $120.23 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
Emblem Health Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Geisinger Setting Professional Modifier None Typical Low $87.10 Median $93.33 Typical High $151.36 | Professional | None | $87.10 | $93.33 | $151.36 |
Martin's Point Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Martin's Point Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $134.90 | Professional | None | $112.20 | $112.20 | $134.90 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $67.61 | Professional | 52 · Reduced service | $56.23 | $56.23 | $67.61 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $26.92 | Professional | 53 · Discontinued | $22.39 | $22.39 | $26.92 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $20.42 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $20.42 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.22 Typical High $13.49 | Professional | 56 · Pre-op care only | $11.22 | $11.22 | $13.49 |
Oscar Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
UPMC Health Plan Setting Facility Modifier None Typical Low $120.23 Median $141.25 Typical High $141.25 | Facility | None | $120.23 | $141.25 | $141.25 |
UPMC Health Plan Setting Professional Modifier None Typical Low $120.23 Median $123.03 Typical High $141.25 | Professional | None | $120.23 | $123.03 | $141.25 |
United Setting Professional Modifier None Typical Low $112.20 Median $138.04 Typical High $239.88 | Professional | None | $112.20 | $138.04 | $239.88 |
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· 41st of 51
$120
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.