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 $346.74 Median $346.74 Typical High $354.81 | Facility | None | $346.74 | $346.74 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $354.81 | Professional | None | $346.74 | $346.74 | $354.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $173.78 Typical High $177.83 | Professional | 52 · Reduced service | $173.78 | $173.78 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $70.79 | Professional | 53 · Discontinued | $69.18 | $69.18 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 55 · Aftercare only | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $35.48 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $35.48 |
Capital Blue Cross Setting Facility Modifier None Typical Low $831.76 Median $954.99 Typical High $5,011.87 | Facility | None | $831.76 | $954.99 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $954.99 | Professional | None | $851.14 | $954.99 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $213.80 Typical High $489.78 | Facility | None | $125.89 | $213.80 | $489.78 |
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 $162.18 Median $831.76 Typical High $977.24 | Professional | None | $162.18 | $831.76 | $977.24 |
Geisinger Setting Professional Modifier None Typical Low $120.23 Median $154.88 Typical High $512.86 | Professional | None | $120.23 | $154.88 | $512.86 |
Martin's Point Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Martin's Point Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $354.81 | Professional | None | $346.74 | $346.74 | $354.81 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $173.78 Median $173.78 Typical High $177.83 | Professional | 52 · Reduced service | $173.78 | $173.78 | $177.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $70.79 | Professional | 53 · Discontinued | $69.18 | $69.18 | $70.79 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 55 · Aftercare only | $52.48 | $52.48 | $52.48 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $35.48 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $35.48 |
Oscar Health Setting Professional Modifier None Typical Low $354.81 Median $436.52 Typical High $537.03 | Professional | None | $354.81 | $436.52 | $537.03 |
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 5.9 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· 18th of 51
$347
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.