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 $1,621.81 Median $1,621.81 Typical High $1,698.24 | Facility | None | $1,621.81 | $1,621.81 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,698.24 Typical High $1,778.28 | Professional | None | $1,584.89 | $1,698.24 | $1,778.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $794.33 Median $851.14 Typical High $891.25 | Professional | 52 · Reduced service | $794.33 | $851.14 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $338.84 Typical High $354.81 | Professional | 53 · Discontinued | $316.23 | $338.84 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $251.19 Typical High $269.15 | Professional | 55 · Aftercare only | $239.88 | $251.19 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $169.82 Typical High $177.83 | Professional | 56 · Pre-op care only | $158.49 | $169.82 | $177.83 |
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 $2,754.23 Median $2,754.23 Typical High $2,951.21 | Professional | None | $2,754.23 | $2,754.23 | $2,951.21 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $3,235.94 Median $3,630.78 Typical High $3,630.78 | Professional | 50 · Both sides | $3,235.94 | $3,630.78 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $17,782.79 | Professional | None | $1,819.70 | $1,819.70 | $17,782.79 |
Emblem Health Setting Professional Modifier None Typical Low $3,235.94 Median $5,128.61 Typical High $5,888.44 | Professional | None | $3,235.94 | $5,128.61 | $5,888.44 |
Geisinger Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Geisinger Setting Professional Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $3,715.35 | Professional | None | $1,905.46 | $2,238.72 | $3,715.35 |
Martin's Point Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Martin's Point Setting Professional Modifier None Typical Low $1,584.89 Median $1,698.24 Typical High $1,778.28 | Professional | None | $1,584.89 | $1,698.24 | $1,778.28 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $794.33 Median $851.14 Typical High $891.25 | Professional | 52 · Reduced service | $794.33 | $851.14 | $891.25 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $338.84 Typical High $354.81 | Professional | 53 · Discontinued | $316.23 | $338.84 | $354.81 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $257.04 Typical High $269.15 | Professional | 55 · Aftercare only | $239.88 | $257.04 | $269.15 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $169.82 Typical High $177.83 | Professional | 56 · Pre-op care only | $158.49 | $169.82 | $177.83 |
Oscar Health Setting Professional Modifier None Typical Low $2,137.96 Median $4,897.79 Typical High $5,248.07 | Professional | None | $2,137.96 | $4,897.79 | $5,248.07 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,737.80 Median $7,943.28 Typical High $13,489.63 | Facility | None | $1,737.80 | $7,943.28 | $13,489.63 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $3,467.37 | Professional | None | $1,737.80 | $1,737.80 | $3,467.37 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $5,128.61 | Facility | None | $1,698.24 | $1,949.84 | $5,128.61 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $1,819.70 Typical High $3,019.95 | Professional | None | $1,584.89 | $1,819.70 | $3,019.95 |
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· 43rd of 51
$1,820
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.