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 $1,659.59 Median $1,659.59 Typical High $1,737.80 | Facility | None | $1,659.59 | $1,659.59 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,698.24 Typical High $1,819.70 | Professional | None | $1,621.81 | $1,698.24 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $257.04 Typical High $275.42 | Professional | 55 · Aftercare only | $245.47 | $257.04 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $169.82 Typical High $181.97 | Professional | 56 · Pre-op care only | $162.18 | $169.82 | $181.97 |
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 $2,951.21 Median $3,715.35 Typical High $3,715.35 | Professional | None | $2,951.21 | $3,715.35 | $3,715.35 |
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 $1,778.28 Median $1,778.28 Typical High $18,620.87 | Professional | None | $1,778.28 | $1,778.28 | $18,620.87 |
Emblem Health Setting Professional Modifier None Typical Low $3,467.37 Median $5,495.41 Typical High $6,309.57 | Professional | None | $3,467.37 | $5,495.41 | $6,309.57 |
Geisinger Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Geisinger Setting Professional Modifier None Typical Low $2,290.87 Median $2,630.27 Typical High $3,801.89 | Professional | None | $2,290.87 | $2,630.27 | $3,801.89 |
Martin's Point Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Martin's Point Setting Professional Modifier None Typical Low $1,621.81 Median $1,737.80 Typical High $1,819.70 | Professional | None | $1,621.81 | $1,737.80 | $1,819.70 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $263.03 Typical High $275.42 | Professional | 55 · Aftercare only | $245.47 | $263.03 | $275.42 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $173.78 Typical High $181.97 | Professional | 56 · Pre-op care only | $162.18 | $173.78 | $181.97 |
Oscar Health Setting Professional Modifier None Typical Low $3,801.89 Median $5,248.07 Typical High $5,623.41 | Professional | None | $3,801.89 | $5,248.07 | $5,623.41 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2,630.27 Median $12,022.64 Typical High $20,892.96 | Facility | None | $2,630.27 | $12,022.64 | $20,892.96 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,548.13 | Professional | None | $2,630.27 | $2,630.27 | $3,548.13 |
United Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $5,495.41 | Facility | None | $4,677.35 | $4,677.35 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $1,862.09 Typical High $3,019.95 | Professional | None | $1,659.59 | $1,862.09 | $3,019.95 |
Where Pennsylvania sits
The same service costs 2.3 times more in Montana 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· 24th of 51
$2,455
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.