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 $389.05 Median $588.84 Typical High $1,023.29 | Facility | None | $389.05 | $588.84 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $489.78 | Professional | None | $389.05 | $389.05 | $489.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $194.98 Typical High $204.17 | Professional | 52 · Reduced service | $194.98 | $194.98 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $79.43 Typical High $81.28 | Professional | 53 · Discontinued | $77.62 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $61.66 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $40.74 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $40.74 |
AmeriHealth Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Capital Blue Cross Setting Facility Modifier None Typical Low $371.54 Median $426.58 Typical High $501.19 | Facility | None | $371.54 | $426.58 | $501.19 |
Capital Blue Cross Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $645.65 Typical High $1,479.11 | Facility | None | $389.05 | $645.65 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $398.11 | Professional | None | $389.05 | $389.05 | $398.11 |
Emblem Health Setting Professional Modifier None Typical Low $338.84 Median $389.05 Typical High $426.58 | Professional | None | $338.84 | $389.05 | $426.58 |
Geisinger Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Geisinger Setting Professional Modifier None Typical Low $389.05 Median $407.38 Typical High $707.95 | Professional | None | $389.05 | $407.38 | $707.95 |
Independence Blue Cross Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Martin's Point Setting Facility Modifier None Typical Low $389.05 Median $707.95 Typical High $1,023.29 | Facility | None | $389.05 | $707.95 | $1,023.29 |
Martin's Point Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $446.68 | Professional | None | $389.05 | $389.05 | $446.68 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $194.98 Typical High $204.17 | Professional | 52 · Reduced service | $194.98 | $194.98 | $204.17 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $79.43 Typical High $81.28 | Professional | 53 · Discontinued | $77.62 | $79.43 | $81.28 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $61.66 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $61.66 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $40.74 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $40.74 |
UPMC Health Plan Setting Facility Modifier None Typical Low $389.05 Median $446.68 Typical High $478.63 | Facility | None | $389.05 | $446.68 | $478.63 |
UPMC Health Plan Setting Professional Modifier None Typical Low $389.05 Median $398.11 Typical High $457.09 | Professional | None | $389.05 | $398.11 | $457.09 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
United Setting Professional Modifier None Typical Low $154.88 Median $389.05 Typical High $467.74 | Professional | None | $154.88 | $389.05 | $467.74 |
Where Pennsylvania sits
The same service costs 1.7 times more in Alaska than in Oklahoma. 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· 30th of 51
$389
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.