How much rates vary
Facilitymedian $363 · 10th to 90th $219 to $1,380Professionalmedian $372 · 10th to 90th $331 to $398
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 $31.62 Median $338.84 Typical High $616.60 | Facility | None | $31.62 | $338.84 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $389.05 | Professional | None | $338.84 | $338.84 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $33.88 |
Ambetter Setting Professional Modifier None Typical Low $165.96 Median $204.17 Typical High $208.93 | Professional | None | $165.96 | $204.17 | $208.93 |
AmeriHealth Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $416.87 | Facility | None | $363.08 | $363.08 | $416.87 |
AmeriHealth Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $407.38 | Professional | None | $389.05 | $389.05 | $407.38 |
Capital Blue Cross Setting Facility Modifier None Typical Low $346.74 Median $398.11 Typical High $5,011.87 | Facility | None | $346.74 | $398.11 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $616.60 Typical High $1,412.54 | Facility | None | $371.54 | $616.60 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Geisinger Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Highmark BCBS Setting Facility Modifier None Typical Low $158.49 Median $288.40 Typical High $501.19 | Facility | None | $158.49 | $288.40 | $501.19 |
Independence Blue Cross Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $436.52 | Facility | None | $338.84 | $338.84 | $436.52 |
Independence Blue Cross Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Martin's Point Setting Facility Modifier None Typical Low $31.62 Median $338.84 Typical High $616.60 | Facility | None | $31.62 | $338.84 | $616.60 |
Martin's Point Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $389.05 | Professional | None | $338.84 | $338.84 | $389.05 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $67.61 | $67.61 | $67.61 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $50.12 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $33.88 |
Oscar Health Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $398.11 | Facility | None | $323.59 | $323.59 | $398.11 |
UPMC Health Plan Setting Facility Modifier None Typical Low $162.18 Median $239.88 Typical High $331.13 | Facility | None | $162.18 | $239.88 | $331.13 |
UPMC Health Plan Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
United Setting Professional Modifier None Typical Low $331.13 Median $398.11 Typical High $489.78 | Professional | None | $331.13 | $398.11 | $489.78 |
Where Pennsylvania sits
The same service costs 3.0 times more in Arizona 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· 23rd of 51
$372
AZ $490AL $162
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.