How much rates vary
Facilitymedian $48 · 10th to 90th $33 to $132Professionalmedian $35 · 10th to 90th $32 to $38
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 $32.36 Median $32.36 Typical High $58.88 | Facility | None | $32.36 | $32.36 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $37.15 | Professional | None | $32.36 | $32.36 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | 55 · Aftercare only | $4.90 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $3.24 |
Ambetter Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $24.55 | Professional | None | $23.44 | $23.44 | $24.55 |
Capital Blue Cross Setting Facility Modifier None Typical Low $33.11 Median $37.15 Typical High $5,011.87 | Facility | None | $33.11 | $37.15 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $57.54 Typical High $131.83 | Facility | None | $34.67 | $57.54 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Geisinger Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $25.12 Median $33.11 Typical High $134.90 | Facility | None | $25.12 | $33.11 | $134.90 |
Independence Blue Cross Setting Facility Modifier None Typical Low $38.02 Median $41.69 Typical High $43.65 | Facility | None | $38.02 | $41.69 | $43.65 |
Martin's Point Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $58.88 | Facility | None | $32.36 | $32.36 | $58.88 |
Martin's Point Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $37.15 | Professional | None | $32.36 | $32.36 | $37.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.22 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.46 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | 55 · Aftercare only | $4.90 | $4.90 | $4.90 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $3.24 |
UPMC Health Plan Setting Facility Modifier None Typical Low $36.31 Median $58.88 Typical High $100.00 | Facility | None | $36.31 | $58.88 | $100.00 |
UPMC Health Plan Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $30.90 Median $37.15 Typical High $46.77 | Professional | None | $30.90 | $37.15 | $46.77 |
Where Pennsylvania sits
The same service costs 5.4 times more in Arizona 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
$34.67
AZ $45.71RI $8.51
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.