How much rates vary
Facilitymedian $269 · 10th to 90th $44 to $813Professionalmedian $43 · 10th to 90th $34 to $49
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 $38.02 Median $51.29 Typical High $67.61 | Facility | None | $38.02 | $51.29 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $39.81 Typical High $48.98 | Professional | None | $35.48 | $39.81 | $48.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $19.95 Typical High $24.55 | Professional | 52 · Reduced service | $17.78 | $19.95 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.94 Typical High $9.77 | Professional | 53 · Discontinued | $7.08 | $7.94 | $9.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $6.03 Typical High $7.41 | Professional | 55 · Aftercare only | $5.37 | $6.03 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.98 Typical High $4.90 | Professional | 56 · Pre-op care only | $3.55 | $3.98 | $4.90 |
Ambetter Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $54.95 | Professional | None | $39.81 | $46.77 | $54.95 |
AmeriHealth Setting Facility Modifier None Typical Low $138.04 Median $338.84 Typical High $1,258.93 | Facility | None | $138.04 | $338.84 | $1,258.93 |
AmeriHealth Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $43.65 Median $45.71 Typical High $45.71 | Professional | None | $43.65 | $45.71 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $346.74 Typical High $416.87 | Facility | None | $165.96 | $346.74 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $36.31 Typical High $46.77 | Professional | None | $24.55 | $36.31 | $46.77 |
Emblem Health Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $77.62 | Professional | None | $50.12 | $70.79 | $77.62 |
Geisinger Setting Professional Modifier None Typical Low $28.18 Median $43.65 Typical High $74.13 | Professional | None | $28.18 | $43.65 | $74.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $239.88 Median $562.34 Typical High $912.01 | Facility | None | $239.88 | $562.34 | $912.01 |
Highmark BCBS Setting Professional Modifier None Typical Low $48.98 Median $53.70 Typical High $77.62 | Professional | None | $48.98 | $53.70 | $77.62 |
Independence Blue Cross Setting Facility Modifier None Typical Low $151.36 Median $309.03 Typical High $977.24 | Facility | None | $151.36 | $309.03 | $977.24 |
Independence Blue Cross Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Martin's Point Setting Facility Modifier None Typical Low $39.81 Median $48.98 Typical High $467.74 | Facility | None | $39.81 | $48.98 | $467.74 |
Martin's Point Setting Professional Modifier None Typical Low $35.48 Median $39.81 Typical High $48.98 | Professional | None | $35.48 | $39.81 | $48.98 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $19.95 Typical High $24.55 | Professional | 52 · Reduced service | $17.78 | $19.95 | $24.55 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.94 Typical High $9.77 | Professional | 53 · Discontinued | $7.08 | $7.94 | $9.77 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $6.03 Typical High $7.41 | Professional | 55 · Aftercare only | $5.37 | $6.03 | $7.41 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $3.98 Typical High $4.90 | Professional | 56 · Pre-op care only | $3.55 | $3.98 | $4.90 |
Oscar Health Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $93.33 | Professional | None | $35.48 | $35.48 | $93.33 |
UPMC Health Plan Setting Facility Modifier None Typical Low $36.31 Median $288.40 Typical High $512.86 | Facility | None | $36.31 | $288.40 | $512.86 |
UPMC Health Plan Setting Professional Modifier None Typical Low $36.31 Median $43.65 Typical High $44.67 | Professional | None | $36.31 | $43.65 | $44.67 |
United Setting Facility Modifier None Typical Low $295.12 Median $630.96 Typical High $724.44 | Facility | None | $295.12 | $630.96 | $724.44 |
United Setting Professional Modifier None Typical Low $33.88 Median $38.02 Typical High $46.77 | Professional | None | $33.88 | $38.02 | $46.77 |
Where Pennsylvania sits
The same service costs 2.9 times more in Alaska than in Kentucky. 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· 26th of 51
$42.66
AK $100KY $34.67
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.