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 $676.08 Median $891.25 Typical High $891.25 | Facility | None | $676.08 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $891.25 | Professional | None | $676.08 | $676.08 | $891.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $338.84 Typical High $446.68 | Professional | 52 · Reduced service | $338.84 | $338.84 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $177.83 | Professional | 53 · Discontinued | $134.90 | $134.90 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $134.90 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $89.13 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $89.13 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $5,011.87 Typical High $56,234.13 | Facility | None | $3,981.07 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $81.28 Median $218.78 Typical High $229.09 | Professional | None | $81.28 | $218.78 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Emblem Health Setting Professional Modifier None Typical Low $257.04 Median $389.05 Typical High $1,202.26 | Professional | None | $257.04 | $389.05 | $1,202.26 |
Geisinger Setting Professional Modifier None Typical Low $43.65 Median $169.82 Typical High $1,096.48 | Professional | None | $43.65 | $169.82 | $1,096.48 |
Martin's Point Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Martin's Point Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $891.25 | Professional | None | $676.08 | $676.08 | $891.25 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $338.84 Median $338.84 Typical High $446.68 | Professional | 52 · Reduced service | $338.84 | $338.84 | $446.68 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $177.83 | Professional | 53 · Discontinued | $134.90 | $134.90 | $177.83 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $134.90 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $134.90 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $89.13 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $89.13 |
Oscar Health Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
UPMC Health Plan Setting Facility Modifier None Typical Low $47.86 Median $128.82 Typical High $208.93 | Facility | None | $47.86 | $128.82 | $208.93 |
UPMC Health Plan Setting Professional Modifier None Typical Low $47.86 Median $128.82 Typical High $208.93 | Professional | None | $47.86 | $128.82 | $208.93 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $6,025.60 Typical High $6,918.31 | Facility | None | $2,818.38 | $6,025.60 | $6,918.31 |
United Setting Professional Modifier None Typical Low $77.62 Median $177.83 Typical High $331.13 | Professional | None | $77.62 | $177.83 | $331.13 |
Where Pennsylvania sits
The same service costs 7.6 times more in Colorado than in Rhode Island. 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· 26th of 51
$209
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.