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 $562.34 Median $562.34 Typical High $602.56 | Facility | None | $562.34 | $562.34 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $562.34 Typical High $616.60 | Professional | None | $549.54 | $562.34 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $87.10 Typical High $93.33 | Professional | 55 · Aftercare only | $83.18 | $87.10 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $58.88 Typical High $61.66 | Professional | 56 · Pre-op care only | $54.95 | $58.88 | $61.66 |
Ambetter Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
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 $1,023.29 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,023.29 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $6,309.57 | Professional | None | $524.81 | $524.81 | $6,309.57 |
Emblem Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,862.09 Typical High $2,187.76 | Professional | None | $1,202.26 | $1,862.09 | $2,187.76 |
Geisinger Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Geisinger Setting Professional Modifier None Typical Low $676.08 Median $776.25 Typical High $1,288.25 | Professional | None | $676.08 | $776.25 | $1,288.25 |
Highmark BCBS Setting Professional Modifier None Typical Low $891.25 Median $954.99 Typical High $954.99 | Professional | None | $891.25 | $954.99 | $954.99 |
Martin's Point Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Martin's Point Setting Professional Modifier None Typical Low $549.54 Median $602.56 Typical High $616.60 | Professional | None | $549.54 | $602.56 | $616.60 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $89.13 Typical High $93.33 | Professional | 55 · Aftercare only | $83.18 | $89.13 | $93.33 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $60.26 Typical High $61.66 | Professional | 56 · Pre-op care only | $56.23 | $60.26 | $61.66 |
Oscar Health Setting Professional Modifier None Typical Low $630.96 Median $1,819.70 Typical High $1,905.46 | Professional | None | $630.96 | $1,819.70 | $1,905.46 |
UPMC Health Plan Setting Facility Modifier None Typical Low $912.01 Median $4,168.69 Typical High $7,079.46 | Facility | None | $912.01 | $4,168.69 | $7,079.46 |
UPMC Health Plan Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,202.26 | Professional | None | $912.01 | $912.01 | $1,202.26 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,905.46 | Facility | None | $1,584.89 | $1,584.89 | $1,905.46 |
United Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $1,023.29 | Professional | None | $575.44 | $630.96 | $1,023.29 |
Where Pennsylvania sits
The same service costs 2.4 times more in Hawaii 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· 34th of 51
$776
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.