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 $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $74.13 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 56 · Pre-op care only | $48.98 | $48.98 | $48.98 |
Capital Blue Cross Setting Facility Modifier None Typical Low $724.44 Median $812.83 Typical High $5,011.87 | Facility | None | $724.44 | $812.83 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $741.31 Median $812.83 Typical High $812.83 | Professional | None | $741.31 | $812.83 | $812.83 |
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 $190.55 Median $707.95 Typical High $831.76 | Professional | None | $190.55 | $707.95 | $831.76 |
Geisinger Setting Professional Modifier None Typical Low $117.49 Median $151.36 Typical High $707.95 | Professional | None | $117.49 | $151.36 | $707.95 |
Martin's Point Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Martin's Point Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $245.47 | $245.47 | $245.47 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $97.72 | $97.72 | $97.72 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $74.13 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $74.13 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 56 · Pre-op care only | $48.98 | $48.98 | $48.98 |
Oscar Health Setting Professional Modifier None Typical Low $588.84 Median $758.58 Typical High $1,122.02 | Professional | None | $588.84 | $758.58 | $1,122.02 |
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 7.1 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· 22nd of 51
$490
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.