How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $81.28 Median $489.78 Typical High $870.96 | Facility | None | $81.28 | $489.78 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $81.28 Typical High $85.11 | Professional | None | $79.43 | $81.28 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $40.74 Typical High $42.66 | Professional | 52 · Reduced service | $39.81 | $40.74 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $16.98 | Professional | 53 · Discontinued | $16.22 | $16.22 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $12.02 Typical High $12.59 | Professional | 55 · Aftercare only | $12.02 | $12.02 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $8.13 Typical High $8.51 | Professional | 56 · Pre-op care only | $7.94 | $8.13 | $8.51 |
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 $77.62 Median $83.18 Typical High $85.11 | Professional | None | $77.62 | $83.18 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Geisinger Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Martin's Point Setting Facility Modifier None Typical Low $81.28 Median $478.63 Typical High $870.96 | Facility | None | $81.28 | $478.63 | $870.96 |
Martin's Point Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $81.28 | Professional | None | $79.43 | $79.43 | $81.28 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $39.81 Typical High $40.74 | Professional | 52 · Reduced service | $39.81 | $39.81 | $40.74 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $16.22 | $16.22 | $16.22 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 55 · Aftercare only | $12.02 | $12.02 | $12.02 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $7.94 Typical High $8.13 | Professional | 56 · Pre-op care only | $7.94 | $7.94 | $8.13 |
Oscar Health Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $186.21 | Professional | None | $74.13 | $74.13 | $186.21 |
United Setting Professional Modifier None Typical Low $72.44 Median $93.33 Typical High $158.49 | Professional | None | $72.44 | $93.33 | $158.49 |
Where Pennsylvania sits
The same service costs 3.3 times more in Alaska than in Wyoming. 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· 40th of 51
$83.18
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.