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 $4,073.80 Median $6,165.95 Typical High $8,317.64 | Facility | None | $4,073.80 | $6,165.95 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | None | $4,073.80 | $4,073.80 | $4,073.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | 52 · Reduced service | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 53 · Discontinued | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 55 · Aftercare only | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 56 · Pre-op care only | $407.38 | $407.38 | $407.38 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,168.69 Median $4,677.35 Typical High $5,623.41 | Facility | None | $4,168.69 | $4,677.35 | $5,623.41 |
Capital Blue Cross Setting Professional Modifier None Typical Low $4,265.80 Median $4,677.35 Typical High $4,677.35 | Professional | None | $4,265.80 | $4,677.35 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $4,786.30 Median $8,128.31 Typical High $18,620.87 | Facility | None | $4,786.30 | $8,128.31 | $18,620.87 |
Cigna Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,786.30 | $4,786.30 | $4,786.30 |
Emblem Health Setting Professional Modifier None Typical Low $5,128.61 Median $5,623.41 Typical High $5,623.41 | Professional | None | $5,128.61 | $5,623.41 | $5,623.41 |
Geisinger Setting Professional Modifier None Typical Low $1,659.59 Median $1,737.80 Typical High $5,011.87 | Professional | None | $1,659.59 | $1,737.80 | $5,011.87 |
Martin's Point Setting Facility Modifier None Typical Low $4,073.80 Median $6,165.95 Typical High $8,317.64 | Facility | None | $4,073.80 | $6,165.95 | $8,317.64 |
Martin's Point Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | None | $4,073.80 | $4,073.80 | $4,073.80 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | 52 · Reduced service | $2,041.74 | $2,041.74 | $2,041.74 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 53 · Discontinued | $812.83 | $812.83 | $812.83 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 55 · Aftercare only | $616.60 | $616.60 | $616.60 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 56 · Pre-op care only | $407.38 | $407.38 | $407.38 |
Oscar Health Setting Professional Modifier None Typical Low $9,772.37 Median $11,220.18 Typical High $11,220.18 | Professional | None | $9,772.37 | $11,220.18 | $11,220.18 |
UPMC Health Plan Setting Facility Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $14,454.40 | Facility | None | $5,623.41 | $5,623.41 | $14,454.40 |
United Setting Professional Modifier None Typical Low $5,128.61 Median $5,754.40 Typical High $6,309.57 | Professional | None | $5,128.61 | $5,754.40 | $6,309.57 |
Where Pennsylvania sits
The same service costs 1.5 times more in Alaska than in Idaho. 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· 50th of 51
$4,677
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.