How much rates vary
Facilitymedian $35 · 10th to 90th $28 to $107Professionalmedian $30 · 10th to 90th $30 to $39
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 $29.51 Median $77.62 Typical High $77.62 | Facility | None | $29.51 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $38.02 | Professional | None | $29.51 | $29.51 | $38.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | 53 · Discontinued | $5.89 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | 55 · Aftercare only | $4.47 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | 56 · Pre-op care only | $2.95 | $2.95 | $2.95 |
AmeriHealth Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Capital Blue Cross Setting Facility Modifier None Typical Low $27.54 Median $31.62 Typical High $37.15 | Facility | None | $27.54 | $31.62 | $37.15 |
Capital Blue Cross Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $48.98 Typical High $112.20 | Facility | None | $29.51 | $48.98 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Geisinger Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Geisinger Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $53.70 | Professional | None | $44.67 | $44.67 | $53.70 |
Independence Blue Cross Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Martin's Point Setting Facility Modifier None Typical Low $29.51 Median $77.62 Typical High $77.62 | Facility | None | $29.51 | $77.62 | $77.62 |
Martin's Point Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $35.48 | Professional | None | $29.51 | $29.51 | $35.48 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $14.79 | $14.79 | $14.79 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | 53 · Discontinued | $5.89 | $5.89 | $5.89 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | 55 · Aftercare only | $4.47 | $4.47 | $4.47 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | 56 · Pre-op care only | $2.95 | $2.95 | $2.95 |
UPMC Health Plan Setting Facility Modifier None Typical Low $18.62 Median $35.48 Typical High $57.54 | Facility | None | $18.62 | $35.48 | $57.54 |
UPMC Health Plan Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $57.54 | Professional | None | $18.62 | $18.62 | $57.54 |
United Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $27.54 | Facility | None | $26.30 | $26.30 | $27.54 |
United Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $38.90 | Professional | None | $26.30 | $30.90 | $38.90 |
Where Pennsylvania sits
Rates are fairly even across states for this service. 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· 32nd of 51
$29.51
AL $38.90RI $26.30
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.