How much rates vary
Facilitymedian $120 · 10th to 90th $93 to $631Professionalmedian $95 · 10th to 90th $87 to $132
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 $87.10 Median $91.20 Typical High $97.72 | Facility | None | $87.10 | $91.20 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $95.50 | Professional | None | $87.10 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 55 · Aftercare only | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 56 · Pre-op care only | $8.71 | $8.71 | $8.71 |
AmeriHealth Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $120.23 | Facility | None | $93.33 | $93.33 | $120.23 |
AmeriHealth Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Capital Blue Cross Setting Facility Modifier None Typical Low $107.15 Median $120.23 Typical High $5,011.87 | Facility | None | $107.15 | $120.23 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $158.49 Typical High $363.08 | Facility | None | $95.50 | $158.49 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Geisinger Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Highmark BCBS Setting Facility Modifier None Typical Low $95.50 Median $263.03 Typical High $416.87 | Facility | None | $95.50 | $263.03 | $416.87 |
Independence Blue Cross Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $630.96 | Facility | None | $93.33 | $93.33 | $630.96 |
Independence Blue Cross Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Martin's Point Setting Facility Modifier None Typical Low $87.10 Median $91.20 Typical High $97.72 | Facility | None | $87.10 | $91.20 | $97.72 |
Martin's Point Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $102.33 | Professional | None | $87.10 | $87.10 | $102.33 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $43.65 | $43.65 | $43.65 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $17.38 | $17.38 | $17.38 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 55 · Aftercare only | $13.18 | $13.18 | $13.18 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 56 · Pre-op care only | $8.71 | $8.71 | $8.71 |
UPMC Health Plan Setting Facility Modifier None Typical Low $147.91 Median $467.74 Typical High $794.33 | Facility | None | $147.91 | $467.74 | $794.33 |
UPMC Health Plan Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
United Setting Professional Modifier None Typical Low $85.11 Median $131.83 Typical High $158.49 | Professional | None | $85.11 | $131.83 | $158.49 |
Where Pennsylvania sits
The same service costs 1.7 times more in Texas than in Arkansas. 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· 26th of 51
$95.50
TX $148AR $85.11
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.