How much rates vary
Facilitymedian $98 · 10th to 90th $72 to $575Professionalmedian $95 · 10th to 90th $56 to $158
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 $75.86 Median $81.28 Typical High $147.91 | Facility | None | $75.86 | $81.28 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $75.86 Typical High $87.10 | Professional | None | $69.18 | $75.86 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $38.02 Typical High $42.66 | Professional | 52 · Reduced service | $34.67 | $38.02 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $15.14 Typical High $17.38 | Professional | 53 · Discontinued | $14.13 | $15.14 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $11.48 Typical High $12.88 | Professional | 55 · Aftercare only | $10.47 | $11.48 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.59 Typical High $8.71 | Professional | 56 · Pre-op care only | $7.08 | $7.59 | $8.71 |
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 $95.50 Median $100.00 Typical High $208.93 | Professional | None | $95.50 | $100.00 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $85.11 Typical High $177.83 | Facility | None | $58.88 | $85.11 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $89.13 Typical High $131.83 | Professional | None | $45.71 | $89.13 | $131.83 |
Emblem Health Setting Professional Modifier None Typical Low $70.79 Median $134.90 Typical High $134.90 | Professional | None | $70.79 | $134.90 | $134.90 |
Geisinger Setting Professional Modifier None Typical Low $89.13 Median $104.71 Typical High $204.17 | Professional | None | $89.13 | $104.71 | $204.17 |
Highmark BCBS Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Highmark BCBS Setting Professional Modifier None Typical Low $72.44 Median $83.18 Typical High $91.20 | Professional | None | $72.44 | $83.18 | $91.20 |
Martin's Point Setting Facility Modifier None Typical Low $81.28 Median $87.10 Typical High $158.49 | Facility | None | $81.28 | $87.10 | $158.49 |
Martin's Point Setting Professional Modifier None Typical Low $69.18 Median $75.86 Typical High $87.10 | Professional | None | $69.18 | $75.86 | $87.10 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $38.02 Typical High $42.66 | Professional | 52 · Reduced service | $34.67 | $38.02 | $42.66 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $15.14 Typical High $17.38 | Professional | 53 · Discontinued | $14.13 | $15.14 | $17.38 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $11.48 Typical High $12.88 | Professional | 55 · Aftercare only | $10.47 | $11.48 | $12.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.59 Typical High $8.71 | Professional | 56 · Pre-op care only | $7.08 | $7.59 | $8.71 |
UPMC Health Plan Setting Facility Modifier None Typical Low $87.10 Median $97.72 Typical High $102.33 | Facility | None | $87.10 | $97.72 | $102.33 |
UPMC Health Plan Setting Professional Modifier None Typical Low $87.10 Median $97.72 Typical High $102.33 | Professional | None | $87.10 | $97.72 | $102.33 |
United Setting Facility Modifier None Typical Low $234.42 Median $501.19 Typical High $575.44 | Facility | None | $234.42 | $501.19 | $575.44 |
United Setting Professional Modifier None Typical Low $53.70 Median $95.50 Typical High $147.91 | Professional | None | $53.70 | $95.50 | $147.91 |
Where Pennsylvania sits
The same service costs 5.0 times more in Alaska than in Alabama. 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· 29th of 51
$95.50
AK $269AL $53.70
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.