How much rates vary
Facilitymedian $282 · 10th to 90th $245 to $851Professionalmedian $251 · 10th to 90th $245 to $427
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 $245.47 Median $371.54 Typical High $630.96 | Facility | None | $245.47 | $371.54 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 55 · Aftercare only | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $24.55 |
AmeriHealth Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $281.84 | Facility | None | $263.03 | $263.03 | $281.84 |
Capital Blue Cross Setting Facility Modifier None Typical Low $229.09 Median $263.03 Typical High $316.23 | Facility | None | $229.09 | $263.03 | $316.23 |
Capital Blue Cross Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $660.69 Typical High $1,513.56 | Facility | None | $346.74 | $660.69 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Geisinger Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Geisinger Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $436.52 | Professional | None | $363.08 | $363.08 | $436.52 |
Highmark BCBS Setting Facility Modifier None Typical Low $338.84 Median $588.84 Typical High $1,096.48 | Facility | None | $338.84 | $588.84 | $1,096.48 |
Independence Blue Cross Setting Facility Modifier None Typical Low $239.88 Median $263.03 Typical High $338.84 | Facility | None | $239.88 | $263.03 | $338.84 |
Martin's Point Setting Facility Modifier None Typical Low $245.47 Median $371.54 Typical High $630.96 | Facility | None | $245.47 | $371.54 | $630.96 |
Martin's Point Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $120.23 | $120.23 | $120.23 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $48.98 | $48.98 | $48.98 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 55 · Aftercare only | $36.31 | $36.31 | $36.31 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $24.55 |
UPMC Health Plan Setting Facility Modifier None Typical Low $245.47 Median $281.84 Typical High $295.12 | Facility | None | $245.47 | $281.84 | $295.12 |
UPMC Health Plan Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $288.40 | Professional | None | $245.47 | $245.47 | $288.40 |
United Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
United Setting Professional Modifier None Typical Low $239.88 Median $398.11 Typical High $467.74 | Professional | None | $239.88 | $398.11 | $467.74 |
Where Pennsylvania sits
The same service costs 8.7 times more in Alabama than in Rhode Island. 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
$282
AL $2,089RI $240
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.