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 $707.95 Median $707.95 Typical High $741.31 | Facility | None | $707.95 | $707.95 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $707.95 Typical High $776.25 | Professional | None | $691.83 | $707.95 | $776.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $346.74 Typical High $389.05 | Professional | 52 · Reduced service | $346.74 | $346.74 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $141.25 Typical High $154.88 | Professional | 53 · Discontinued | $138.04 | $141.25 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $104.71 Typical High $114.82 | Professional | 55 · Aftercare only | $102.33 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $70.79 Typical High $77.62 | Professional | 56 · Pre-op care only | $69.18 | $70.79 | $77.62 |
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 $1,202.26 Median $1,202.26 Typical High $1,288.25 | Professional | None | $1,202.26 | $1,202.26 | $1,288.25 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $1,412.54 Median $1,584.89 Typical High $1,584.89 | Professional | 50 · Both sides | $1,412.54 | $1,584.89 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $7,585.78 | Professional | None | $812.83 | $812.83 | $7,585.78 |
Emblem Health Setting Professional Modifier None Typical Low $1,548.82 Median $2,454.71 Typical High $2,818.38 | Professional | None | $1,548.82 | $2,454.71 | $2,818.38 |
Geisinger Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Geisinger Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $1,584.89 | Professional | None | $831.76 | $954.99 | $1,584.89 |
Martin's Point Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Martin's Point Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $776.25 | Professional | None | $691.83 | $741.31 | $776.25 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $346.74 Median $371.54 Typical High $389.05 | Professional | 52 · Reduced service | $346.74 | $371.54 | $389.05 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $147.91 Typical High $154.88 | Professional | 53 · Discontinued | $138.04 | $147.91 | $154.88 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $112.20 Typical High $114.82 | Professional | 55 · Aftercare only | $102.33 | $112.20 | $114.82 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $74.13 Typical High $77.62 | Professional | 56 · Pre-op care only | $69.18 | $74.13 | $77.62 |
Oscar Health Setting Professional Modifier None Typical Low $1,023.29 Median $2,398.83 Typical High $2,511.89 | Professional | None | $1,023.29 | $2,398.83 | $2,511.89 |
UPMC Health Plan Setting Facility Modifier None Typical Low $741.31 Median $3,388.44 Typical High $5,888.44 | Facility | None | $741.31 | $3,388.44 | $5,888.44 |
UPMC Health Plan Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,479.11 | Professional | None | $741.31 | $741.31 | $1,479.11 |
United Setting Facility Modifier None Typical Low $660.69 Median $776.25 Typical High $2,238.72 | Facility | None | $660.69 | $776.25 | $2,238.72 |
United Setting Professional Modifier None Typical Low $691.83 Median $776.25 Typical High $1,318.26 | Professional | None | $691.83 | $776.25 | $1,318.26 |
Where Pennsylvania sits
The same service costs 2.2 times more in Hawaii than in Florida. 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· 47th of 51
$813
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.