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 $269.15 Median $269.15 Typical High $281.84 | Facility | None | $269.15 | $269.15 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $281.84 Typical High $295.12 | Professional | None | $263.03 | $281.84 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $42.66 Typical High $43.65 | Professional | 55 · Aftercare only | $38.90 | $42.66 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $28.18 Typical High $29.51 | Professional | 56 · Pre-op care only | $26.30 | $28.18 | $29.51 |
Ambetter Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $512.86 | Professional | None | $457.09 | $457.09 | $512.86 |
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 $478.63 Median $602.56 Typical High $602.56 | Professional | None | $478.63 | $602.56 | $602.56 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $537.03 Median $602.56 Typical High $602.56 | Professional | 50 · Both sides | $537.03 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $3,467.37 | Professional | None | $275.42 | $275.42 | $3,467.37 |
Emblem Health Setting Professional Modifier None Typical Low $562.34 Median $891.25 Typical High $1,023.29 | Professional | None | $562.34 | $891.25 | $1,023.29 |
Geisinger Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Geisinger Setting Professional Modifier None Typical Low $316.23 Median $363.08 Typical High $602.56 | Professional | None | $316.23 | $363.08 | $602.56 |
Highmark BCBS Setting Professional Modifier None Typical Low $416.87 Median $457.09 Typical High $489.78 | Professional | None | $416.87 | $457.09 | $489.78 |
Martin's Point Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Martin's Point Setting Professional Modifier None Typical Low $263.03 Median $281.84 Typical High $295.12 | Professional | None | $263.03 | $281.84 | $295.12 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $42.66 Typical High $43.65 | Professional | 55 · Aftercare only | $39.81 | $42.66 | $43.65 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $28.18 Typical High $29.51 | Professional | 56 · Pre-op care only | $26.92 | $28.18 | $29.51 |
Oscar Health Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $912.01 | Professional | None | $489.78 | $616.60 | $912.01 |
UPMC Health Plan Setting Facility Modifier None Typical Low $426.58 Median $1,949.84 Typical High $3,630.78 | Facility | None | $426.58 | $1,949.84 | $3,630.78 |
UPMC Health Plan Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $562.34 | Professional | None | $426.58 | $426.58 | $562.34 |
United Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $977.24 | Facility | None | $812.83 | $812.83 | $977.24 |
United Setting Professional Modifier None Typical Low $269.15 Median $295.12 Typical High $501.19 | Professional | None | $269.15 | $295.12 | $501.19 |
Where Pennsylvania sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 40th of 51
$380
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.