How much rates vary
Facilitymedian $676 · 10th to 90th $66 to $6,166Professionalmedian $162 · 10th to 90th $42 to $295
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 $46.77 Median $295.12 Typical High $7,943.28 | Facility | None | $46.77 | $295.12 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $151.36 Typical High $251.19 | Professional | None | $38.90 | $151.36 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $31.62 Typical High $123.03 | Professional | 52 · Reduced service | $19.50 | $31.62 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $12.88 Typical High $48.98 | Professional | 53 · Discontinued | $7.76 | $12.88 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $9.55 Typical High $36.31 | Professional | 55 · Aftercare only | $5.89 | $9.55 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $6.31 Typical High $24.55 | Professional | 56 · Pre-op care only | $3.89 | $6.31 | $24.55 |
Ambetter Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $64.57 | Professional | None | $54.95 | $64.57 | $64.57 |
AmeriHealth Setting Facility Modifier None Typical Low $562.34 Median $707.95 Typical High $6,760.83 | Facility | None | $562.34 | $707.95 | $6,760.83 |
AmeriHealth Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $57.54 | Professional | None | $44.67 | $44.67 | $57.54 |
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 $109.65 Median $109.65 Typical High $371.54 | Professional | None | $109.65 | $109.65 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $134.90 Typical High $288.40 | Professional | None | $41.69 | $134.90 | $288.40 |
Emblem Health Setting Professional Modifier None Typical Low $288.40 Median $346.74 Typical High $363.08 | Professional | None | $288.40 | $346.74 | $363.08 |
Geisinger Setting Professional Modifier None Typical Low $51.29 Median $218.78 Typical High $426.58 | Professional | None | $51.29 | $218.78 | $426.58 |
Highmark BCBS Setting Facility Modifier None Typical Low $354.81 Median $851.14 Typical High $3,801.89 | Facility | None | $354.81 | $851.14 | $3,801.89 |
Highmark BCBS Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $251.19 | Professional | None | $43.65 | $53.70 | $251.19 |
Independence Blue Cross Setting Facility Modifier None Typical Low $478.63 Median $707.95 Typical High $7,079.46 | Facility | None | $478.63 | $707.95 | $7,079.46 |
Independence Blue Cross Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $57.54 | Professional | None | $44.67 | $44.67 | $57.54 |
Martin's Point Setting Facility Modifier None Typical Low $46.77 Median $316.23 Typical High $7,244.36 | Facility | None | $46.77 | $316.23 | $7,244.36 |
Martin's Point Setting Professional Modifier None Typical Low $38.90 Median $154.88 Typical High $245.47 | Professional | None | $38.90 | $154.88 | $245.47 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $31.62 Typical High $123.03 | Professional | 52 · Reduced service | $19.50 | $31.62 | $123.03 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $12.88 Typical High $48.98 | Professional | 53 · Discontinued | $7.76 | $12.88 | $48.98 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $9.55 Typical High $36.31 | Professional | 55 · Aftercare only | $5.89 | $9.55 | $36.31 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $6.31 Typical High $24.55 | Professional | 56 · Pre-op care only | $3.89 | $6.31 | $24.55 |
Oscar Health Setting Professional Modifier None Typical Low $371.54 Median $446.68 Typical High $588.84 | Professional | None | $371.54 | $446.68 | $588.84 |
UPMC Health Plan Setting Facility Modifier None Typical Low $173.78 Median $977.24 Typical High $1,778.28 | Facility | None | $173.78 | $977.24 | $1,778.28 |
UPMC Health Plan Setting Professional Modifier None Typical Low $42.66 Median $199.53 Typical High $269.15 | Professional | None | $42.66 | $199.53 | $269.15 |
United Setting Facility Modifier None Typical Low $169.82 Median $524.81 Typical High $3,890.45 | Facility | None | $169.82 | $524.81 | $3,890.45 |
United Setting Professional Modifier None Typical Low $45.71 Median $169.82 Typical High $323.59 | Professional | None | $45.71 | $169.82 | $323.59 |
Where Pennsylvania sits
The same service costs 5.2 times more in North Carolina than in Hawaii. 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· 28th of 51
$182
NC $309HI $58.88
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.