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 $79.43 Median $79.43 Typical High $81.28 | Facility | None | $79.43 | $79.43 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $81.28 | Professional | None | $79.43 | $79.43 | $81.28 |
Aetna 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 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $16.22 | Professional | 53 · Discontinued | $15.85 | $15.85 | $16.22 |
Aetna 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 |
Aetna 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 |
Capital Blue Cross Setting Facility Modifier None Typical Low $436.52 Median $489.78 Typical High $5,011.87 | Facility | None | $436.52 | $489.78 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $436.52 Median $489.78 Typical High $489.78 | Professional | None | $436.52 | $489.78 | $489.78 |
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 $151.36 | Professional | None | $125.89 | $125.89 | $151.36 |
Emblem Health Setting Professional Modifier None Typical Low $190.55 Median $426.58 Typical High $501.19 | Professional | None | $190.55 | $426.58 | $501.19 |
Geisinger Setting Professional Modifier None Typical Low $117.49 Median $144.54 Typical High $208.93 | Professional | None | $117.49 | $144.54 | $208.93 |
Martin's Point Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
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 $15.85 Median $15.85 Typical High $16.22 | Professional | 53 · Discontinued | $15.85 | $15.85 | $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 $97.72 Median $645.65 Typical High $977.24 | Professional | None | $97.72 | $645.65 | $977.24 |
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 7.2 times more in Hawaii than in Kentucky. 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· 23rd of 51
$126
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.