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 $316.23 Median $316.23 Typical High $331.13 | Facility | None | $316.23 | $316.23 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $316.23 Typical High $346.74 | Professional | None | $309.03 | $316.23 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $48.98 Typical High $51.29 | Professional | 55 · Aftercare only | $45.71 | $48.98 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $33.11 Typical High $34.67 | Professional | 56 · Pre-op care only | $30.90 | $33.11 | $34.67 |
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 $562.34 Median $707.95 Typical High $707.95 | Professional | None | $562.34 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $3,630.78 | Professional | None | $407.38 | $407.38 | $3,630.78 |
Emblem Health Setting Professional Modifier None Typical Low $630.96 Median $977.24 Typical High $1,148.15 | Professional | None | $630.96 | $977.24 | $1,148.15 |
Geisinger Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Geisinger Setting Professional Modifier None Typical Low $426.58 Median $467.74 Typical High $724.44 | Professional | None | $426.58 | $467.74 | $724.44 |
Highmark BCBS Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $524.81 | Professional | None | $489.78 | $489.78 | $524.81 |
Martin's Point Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Martin's Point Setting Professional Modifier None Typical Low $309.03 Median $331.13 Typical High $346.74 | Professional | None | $309.03 | $331.13 | $346.74 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $50.12 Typical High $51.29 | Professional | 55 · Aftercare only | $46.77 | $50.12 | $51.29 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $33.11 Typical High $34.67 | Professional | 56 · Pre-op care only | $31.62 | $33.11 | $34.67 |
Oscar Health Setting Professional Modifier None Typical Low $316.23 Median $954.99 Typical High $1,000.00 | Professional | None | $316.23 | $954.99 | $1,000.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $501.19 Median $2,290.87 Typical High $3,890.45 | Facility | None | $501.19 | $2,290.87 | $3,890.45 |
UPMC Health Plan Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $676.08 | Professional | None | $501.19 | $501.19 | $676.08 |
United Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $1,096.48 | Facility | None | $912.01 | $912.01 | $1,096.48 |
United Setting Professional Modifier None Typical Low $316.23 Median $346.74 Typical High $549.54 | Professional | None | $316.23 | $346.74 | $549.54 |
Where Pennsylvania sits
The same service costs 2.6 times more in Hawaii than in New Jersey. 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· 25th of 51
$501
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.