How much rates vary
Facilitymedian $55 · 10th to 90th $20 to $204Professionalmedian $54 · 10th to 90th $49 to $58
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 $51.29 Median $51.29 Typical High $93.33 | Facility | None | $51.29 | $51.29 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $58.88 | Professional | None | $51.29 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 55 · Aftercare only | $7.59 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 56 · Pre-op care only | $5.13 | $5.13 | $5.13 |
Ambetter Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
AmeriHealth Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Facility | None | $54.95 | $54.95 | $70.79 |
AmeriHealth Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Capital Blue Cross Setting Facility Modifier None Typical Low $51.29 Median $57.54 Typical High $5,011.87 | Facility | None | $51.29 | $57.54 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $89.13 Typical High $204.17 | Facility | None | $53.70 | $89.13 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Geisinger Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Highmark BCBS Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $181.97 | Facility | None | $44.67 | $44.67 | $181.97 |
Independence Blue Cross Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $70.79 | Facility | None | $54.95 | $54.95 | $70.79 |
Independence Blue Cross Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Martin's Point Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $93.33 | Facility | None | $51.29 | $51.29 | $93.33 |
Martin's Point Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $58.88 | Professional | None | $51.29 | $51.29 | $58.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 55 · Aftercare only | $7.59 | $7.59 | $7.59 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 56 · Pre-op care only | $5.13 | $5.13 | $5.13 |
UPMC Health Plan Setting Facility Modifier None Typical Low $12.88 Median $19.95 Typical High $41.69 | Facility | None | $12.88 | $19.95 | $41.69 |
UPMC Health Plan Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
United Setting Professional Modifier None Typical Low $46.77 Median $57.54 Typical High $70.79 | Professional | None | $46.77 | $57.54 | $70.79 |
Where Pennsylvania sits
The same service costs 1.5 times more in Colorado than in Alaska. 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· 10th of 51
$53.70
CO $58.88AK $38.90
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.