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 $165.96 Median $165.96 Typical High $169.82 | Facility | None | $165.96 | $165.96 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $169.82 Typical High $169.82 | Professional | None | $165.96 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $83.18 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $33.11 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $25.70 Typical High $25.70 | Professional | 55 · Aftercare only | $25.12 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.98 Typical High $16.98 | Professional | 56 · Pre-op care only | $16.60 | $16.98 | $16.98 |
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 $208.93 Median $213.80 Typical High $213.80 | Professional | None | $208.93 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Emblem Health Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Geisinger Setting Professional Modifier None Typical Low $158.49 Median $169.82 Typical High $223.87 | Professional | None | $158.49 | $169.82 | $223.87 |
Martin's Point Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Martin's Point Setting Professional Modifier None Typical Low $165.96 Median $169.82 Typical High $169.82 | Professional | None | $165.96 | $169.82 | $169.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $83.18 | $85.11 | $85.11 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $33.11 | $33.88 | $33.88 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $25.70 Typical High $25.70 | Professional | 55 · Aftercare only | $25.12 | $25.70 | $25.70 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $16.98 Typical High $16.98 | Professional | 56 · Pre-op care only | $16.60 | $16.98 | $16.98 |
UPMC Health Plan Setting Facility Modifier None Typical Low $204.17 Median $245.47 Typical High $245.47 | Facility | None | $204.17 | $245.47 | $245.47 |
UPMC Health Plan Setting Professional Modifier None Typical Low $204.17 Median $213.80 Typical High $245.47 | Professional | None | $204.17 | $213.80 | $245.47 |
United Setting Professional Modifier None Typical Low $186.21 Median $234.42 Typical High $398.11 | Professional | None | $186.21 | $234.42 | $398.11 |
Where Pennsylvania sits
The same service costs 2.6 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· 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.