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 $2,754.23 Median $2,754.23 Typical High $2,818.38 | Facility | None | $2,754.23 | $2,754.23 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,818.38 | Professional | None | $2,754.23 | $2,754.23 | $2,818.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,380.38 Median $1,380.38 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,380.38 | $1,380.38 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | 53 · Discontinued | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $416.87 Typical High $426.58 | Professional | 55 · Aftercare only | $416.87 | $416.87 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $275.42 Typical High $281.84 | Professional | 56 · Pre-op care only | $275.42 | $275.42 | $281.84 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,090.30 Median $3,467.37 Typical High $5,248.07 | Facility | None | $3,090.30 | $3,467.37 | $5,248.07 |
Capital Blue Cross Setting Professional Modifier None Typical Low $3,162.28 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,162.28 | $3,467.37 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $181.97 Typical High $478.63 | Facility | None | $125.89 | $181.97 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $162.18 | Professional | None | $125.89 | $125.89 | $162.18 |
Emblem Health Setting Professional Modifier None Typical Low $190.55 Median $3,019.95 Typical High $3,548.13 | Professional | None | $190.55 | $3,019.95 | $3,548.13 |
Geisinger Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $229.09 | Professional | None | $102.33 | $138.04 | $229.09 |
Martin's Point Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Martin's Point Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,818.38 | Professional | None | $2,754.23 | $2,754.23 | $2,818.38 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1,380.38 Median $1,380.38 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,380.38 | $1,380.38 | $1,412.54 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | 53 · Discontinued | $562.34 | $562.34 | $562.34 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $416.87 Typical High $426.58 | Professional | 55 · Aftercare only | $416.87 | $416.87 | $426.58 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $275.42 Typical High $281.84 | Professional | 56 · Pre-op care only | $275.42 | $275.42 | $281.84 |
Oscar Health Setting Professional Modifier None Typical Low $100.00 Median $147.91 Typical High $645.65 | Professional | None | $100.00 | $147.91 | $645.65 |
UPMC Health Plan Setting Facility Modifier None Typical Low $93.33 Median $194.98 Typical High $309.03 | Facility | None | $93.33 | $194.98 | $309.03 |
UPMC Health Plan Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $109.65 | Professional | None | $93.33 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $114.82 Median $125.89 Typical High $165.96 | Professional | None | $114.82 | $125.89 | $165.96 |
Where Pennsylvania sits
The same service costs 37.2 times more in Wyoming than in North Carolina. 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· 5th of 51
$2,754
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.