How much rates vary
Facilitymedian $112 · 10th to 90th $20 to $331Professionalmedian $69 · 10th to 90th $18 to $98
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 $19.95 Median $70.79 Typical High $151.36 | Facility | None | $19.95 | $70.79 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $48.98 Typical High $70.79 | Professional | None | $17.78 | $48.98 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $19.05 Typical High $35.48 | Professional | 52 · Reduced service | $8.71 | $19.05 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $9.77 Typical High $14.13 | Professional | 53 · Discontinued | $3.55 | $9.77 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $7.41 Typical High $10.47 | Professional | 55 · Aftercare only | $2.63 | $7.41 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $4.90 Typical High $7.08 | Professional | 56 · Pre-op care only | $1.78 | $4.90 | $7.08 |
AmeriHealth Setting Facility Modifier None Typical Low $54.95 Median $144.54 Typical High $524.81 | Facility | None | $54.95 | $144.54 | $524.81 |
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 $74.13 Median $77.62 Typical High $123.03 | Professional | None | $74.13 | $77.62 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $138.04 Typical High $165.96 | Facility | None | $67.61 | $138.04 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $67.61 Typical High $85.11 | Professional | None | $17.78 | $67.61 | $85.11 |
Emblem Health Setting Professional Modifier None Typical Low $89.13 Median $138.04 Typical High $177.83 | Professional | None | $89.13 | $138.04 | $177.83 |
Geisinger Setting Professional Modifier None Typical Low $24.55 Median $83.18 Typical High $147.91 | Professional | None | $24.55 | $83.18 | $147.91 |
Highmark BCBS Setting Facility Modifier None Typical Low $81.28 Median $154.88 Typical High $245.47 | Facility | None | $81.28 | $154.88 | $245.47 |
Highmark BCBS Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $114.82 | Professional | None | $107.15 | $107.15 | $114.82 |
Independence Blue Cross Setting Facility Modifier None Typical Low $53.70 Median $128.82 Typical High $512.86 | Facility | None | $53.70 | $128.82 | $512.86 |
Martin's Point Setting Facility Modifier None Typical Low $19.95 Median $70.79 Typical High $162.18 | Facility | None | $19.95 | $70.79 | $162.18 |
Martin's Point Setting Professional Modifier None Typical Low $17.78 Median $38.02 Typical High $70.79 | Professional | None | $17.78 | $38.02 | $70.79 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $19.05 Typical High $35.48 | Professional | 52 · Reduced service | $8.71 | $19.05 | $35.48 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $9.77 Typical High $14.13 | Professional | 53 · Discontinued | $3.55 | $9.77 | $14.13 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $7.41 Typical High $10.47 | Professional | 55 · Aftercare only | $2.63 | $7.41 | $10.47 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $4.90 Typical High $7.08 | Professional | 56 · Pre-op care only | $1.78 | $4.90 | $7.08 |
Oscar Health Setting Professional Modifier None Typical Low $89.13 Median $131.83 Typical High $173.78 | Professional | None | $89.13 | $131.83 | $173.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $16.60 Median $69.18 Typical High $165.96 | Facility | None | $16.60 | $69.18 | $165.96 |
UPMC Health Plan Setting Professional Modifier None Typical Low $16.60 Median $54.95 Typical High $69.18 | Professional | None | $16.60 | $54.95 | $69.18 |
United Setting Facility Modifier None Typical Low $81.28 Median $173.78 Typical High $199.53 | Facility | None | $81.28 | $173.78 | $199.53 |
United Setting Professional Modifier None Typical Low $17.38 Median $50.12 Typical High $75.86 | Professional | None | $17.38 | $50.12 | $75.86 |
Where Pennsylvania sits
The same service costs 4.9 times more in Hawaii than in Washington, DC. 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· 11th of 51
$69.18
HI $91.20DC $18.62
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.