How much rates vary
Facilitymedian $251 · 10th to 90th $141 to $1,000Professionalmedian $245 · 10th to 90th $214 to $282
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 $30.90 Median $239.88 Typical High $239.88 | Facility | None | $30.90 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $275.42 | Professional | None | $239.88 | $239.88 | $275.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 55 · Aftercare only | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 56 · Pre-op care only | $23.99 | $23.99 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $223.87 | Professional | None | $128.82 | $151.36 | $223.87 |
AmeriHealth Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $323.59 | Facility | None | $251.19 | $251.19 | $323.59 |
AmeriHealth Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $281.84 | Professional | None | $275.42 | $275.42 | $281.84 |
Capital Blue Cross Setting Facility Modifier None Typical Low $239.88 Median $269.15 Typical High $5,011.87 | Facility | None | $239.88 | $269.15 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $436.52 Typical High $1,000.00 | Facility | None | $263.03 | $436.52 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Geisinger Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Highmark BCBS Setting Facility Modifier None Typical Low $93.33 Median $169.82 Typical High $478.63 | Facility | None | $93.33 | $169.82 | $478.63 |
Independence Blue Cross Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $316.23 | Facility | None | $239.88 | $239.88 | $316.23 |
Independence Blue Cross Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Martin's Point Setting Facility Modifier None Typical Low $30.90 Median $239.88 Typical High $239.88 | Facility | None | $30.90 | $239.88 | $239.88 |
Martin's Point Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $275.42 | Professional | None | $239.88 | $239.88 | $275.42 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $120.23 | $120.23 | $120.23 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $47.86 | $47.86 | $47.86 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 55 · Aftercare only | $36.31 | $36.31 | $36.31 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 56 · Pre-op care only | $23.99 | $23.99 | $23.99 |
Oscar Health Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $281.84 | Facility | None | $229.09 | $229.09 | $281.84 |
UPMC Health Plan Setting Facility Modifier None Typical Low $114.82 Median $173.78 Typical High $208.93 | Facility | None | $114.82 | $173.78 | $208.93 |
UPMC Health Plan Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $186.21 | Professional | None | $173.78 | $173.78 | $186.21 |
United Setting Professional Modifier None Typical Low $213.80 Median $281.84 Typical High $354.81 | Professional | None | $213.80 | $281.84 | $354.81 |
Where Pennsylvania sits
The same service costs 2.1 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· 21st of 51
$251
AZ $347AL $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.