How much rates vary
Facilitymedian $85 · 10th to 90th $76 to $295Professionalmedian $81 · 10th to 90th $76 to $115
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 $74.13 Median $107.15 Typical High $199.53 | Facility | None | $74.13 | $107.15 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $114.82 | Professional | None | $75.86 | $75.86 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 55 · Aftercare only | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 56 · Pre-op care only | $7.59 | $7.59 | $7.59 |
Ambetter Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $151.36 | Professional | None | $123.03 | $144.54 | $151.36 |
AmeriHealth Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $95.50 | Facility | None | $81.28 | $81.28 | $95.50 |
AmeriHealth Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | None | $85.11 | $85.11 | $87.10 |
Capital Blue Cross Setting Facility Modifier None Typical Low $69.18 Median $79.43 Typical High $93.33 | Facility | None | $69.18 | $79.43 | $93.33 |
Capital Blue Cross Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $134.90 Typical High $309.03 | Facility | None | $81.28 | $134.90 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Geisinger Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Geisinger Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $134.90 | Professional | None | $112.20 | $112.20 | $134.90 |
Highmark BCBS Setting Facility Modifier None Typical Low $47.86 Median $85.11 Typical High $346.74 | Facility | None | $47.86 | $85.11 | $346.74 |
Independence Blue Cross Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $102.33 | Facility | None | $79.43 | $79.43 | $102.33 |
Independence Blue Cross Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Martin's Point Setting Facility Modifier None Typical Low $75.86 Median $114.82 Typical High $199.53 | Facility | None | $75.86 | $114.82 | $199.53 |
Martin's Point Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $114.82 | Professional | None | $75.86 | $75.86 | $114.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $37.15 | $37.15 | $37.15 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $15.14 | $15.14 | $15.14 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 55 · Aftercare only | $11.22 | $11.22 | $11.22 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 56 · Pre-op care only | $7.59 | $7.59 | $7.59 |
UPMC Health Plan Setting Facility Modifier None Typical Low $70.79 Median $87.10 Typical High $100.00 | Facility | None | $70.79 | $87.10 | $100.00 |
UPMC Health Plan Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $81.28 | Professional | None | $70.79 | $70.79 | $81.28 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $81.28 | Facility | None | $75.86 | $75.86 | $81.28 |
United Setting Professional Modifier None Typical Low $72.44 Median $89.13 Typical High $112.20 | Professional | None | $72.44 | $89.13 | $112.20 |
Where Pennsylvania sits
The same service costs 2.8 times more in Alaska 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· 30th of 51
$81.28
AK $112AL $39.81
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.