How much rates vary
Facilitymedian $646 · 10th to 90th $107 to $3,890Professionalmedian $891 · 10th to 90th $661 to $1,585
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 $691.83 Median $758.58 Typical High $977.24 | Facility | None | $691.83 | $758.58 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $831.76 Typical High $1,230.27 | Professional | None | $660.69 | $831.76 | $1,230.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $407.38 Typical High $489.78 | Professional | 52 · Reduced service | $323.59 | $407.38 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $123.03 Typical High $147.91 | Professional | 55 · Aftercare only | $97.72 | $123.03 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $81.28 Typical High $97.72 | Professional | 56 · Pre-op care only | $66.07 | $81.28 | $97.72 |
Ambetter Setting Professional Modifier None Typical Low $1,288.25 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,288.25 | $1,479.11 | $1,995.26 |
AmeriHealth Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,230.27 | Professional | None | $1,071.52 | $1,071.52 | $1,230.27 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $5,011.87 Typical High $56,234.13 | Facility | None | $3,981.07 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1,023.29 Median $1,513.56 Typical High $1,819.70 | Professional | None | $1,023.29 | $1,513.56 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $794.33 Typical High $2,691.53 | Facility | None | $457.09 | $794.33 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $977.24 Typical High $1,621.81 | Professional | None | $676.08 | $977.24 | $1,621.81 |
Emblem Health Setting Professional Modifier None Typical Low $851.14 Median $1,000.00 Typical High $1,698.24 | Professional | None | $851.14 | $1,000.00 | $1,698.24 |
Geisinger Setting Professional Modifier None Typical Low $616.60 Median $1,096.48 Typical High $1,737.80 | Professional | None | $616.60 | $1,096.48 | $1,737.80 |
Independence Blue Cross Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,258.93 | Professional | None | $1,071.52 | $1,071.52 | $1,258.93 |
Martin's Point Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $977.24 | Facility | None | $758.58 | $758.58 | $977.24 |
Martin's Point Setting Professional Modifier None Typical Low $660.69 Median $831.76 Typical High $1,230.27 | Professional | None | $660.69 | $831.76 | $1,230.27 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $323.59 Median $407.38 Typical High $489.78 | Professional | 52 · Reduced service | $323.59 | $407.38 | $489.78 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $123.03 Typical High $147.91 | Professional | 55 · Aftercare only | $97.72 | $123.03 | $147.91 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $81.28 Typical High $97.72 | Professional | 56 · Pre-op care only | $66.07 | $81.28 | $97.72 |
Oscar Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,148.15 Typical High $1,778.28 | Professional | None | $1,000.00 | $1,148.15 | $1,778.28 |
UPMC Health Plan Setting Facility Modifier None Typical Low $38.02 Median $74.13 Typical High $891.25 | Facility | None | $38.02 | $74.13 | $891.25 |
UPMC Health Plan Setting Professional Modifier None Typical Low $616.60 Median $891.25 Typical High $1,000.00 | Professional | None | $616.60 | $891.25 | $1,000.00 |
United Setting Facility Modifier None Typical Low $199.53 Median $602.56 Typical High $3,890.45 | Facility | None | $199.53 | $602.56 | $3,890.45 |
United Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $1,412.54 | Professional | None | $630.96 | $851.14 | $1,412.54 |
Where Pennsylvania sits
The same service costs 3.2 times more in Alaska than in Indiana. 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· 40th of 51
$891
AK $2,512IN $776
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.