How much rates vary
Facilitymedian $191 · 10th to 90th $28 to $1,413Professionalmedian $78 · 10th to 90th $25 to $145
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 $23.44 Median $478.63 Typical High $1,258.93 | Facility | None | $23.44 | $478.63 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $57.54 Typical High $85.11 | Professional | None | $23.44 | $57.54 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $29.51 Typical High $36.31 | Professional | 52 · Reduced service | $11.48 | $29.51 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $11.75 Typical High $14.45 | Professional | 53 · Discontinued | $4.68 | $11.75 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $8.91 Typical High $10.72 | Professional | 55 · Aftercare only | $3.47 | $8.91 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $5.89 Typical High $7.24 | Professional | 56 · Pre-op care only | $2.29 | $5.89 | $7.24 |
Ambetter Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $107.15 | Professional | None | $75.86 | $75.86 | $107.15 |
AmeriHealth Setting Professional Modifier None Typical Low $141.25 Median $181.97 Typical High $281.84 | Professional | None | $141.25 | $181.97 | $281.84 |
Capital Blue Cross Setting Facility Modifier None Typical Low $208.93 Median $5,011.87 Typical High $56,234.13 | Facility | None | $208.93 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $79.43 Median $128.82 Typical High $154.88 | Professional | None | $79.43 | $128.82 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $190.55 Typical High $281.84 | Facility | None | $74.13 | $190.55 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $77.62 Typical High $138.04 | Professional | None | $27.54 | $77.62 | $138.04 |
Emblem Health Setting Professional Modifier None Typical Low $100.00 Median $131.83 Typical High $181.97 | Professional | None | $100.00 | $131.83 | $181.97 |
Geisinger Setting Professional Modifier None Typical Low $31.62 Median $102.33 Typical High $165.96 | Professional | None | $31.62 | $102.33 | $165.96 |
Highmark BCBS Setting Facility Modifier None Typical Low $87.10 Median $257.04 Typical High $331.13 | Facility | None | $87.10 | $257.04 | $331.13 |
Highmark BCBS Setting Professional Modifier None Typical Low $29.51 Median $81.28 Typical High $91.20 | Professional | None | $29.51 | $81.28 | $91.20 |
Independence Blue Cross Setting Professional Modifier None Typical Low $141.25 Median $144.54 Typical High $281.84 | Professional | None | $141.25 | $144.54 | $281.84 |
Martin's Point Setting Facility Modifier None Typical Low $23.44 Median $478.63 Typical High $870.96 | Facility | None | $23.44 | $478.63 | $870.96 |
Martin's Point Setting Professional Modifier None Typical Low $23.44 Median $58.88 Typical High $72.44 | Professional | None | $23.44 | $58.88 | $72.44 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $29.51 Typical High $36.31 | Professional | 52 · Reduced service | $11.48 | $29.51 | $36.31 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $11.75 Typical High $14.45 | Professional | 53 · Discontinued | $4.68 | $11.75 | $14.45 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $8.91 Typical High $10.72 | Professional | 55 · Aftercare only | $3.47 | $8.91 | $10.72 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $5.89 Typical High $7.24 | Professional | 56 · Pre-op care only | $2.29 | $5.89 | $7.24 |
Oscar Health Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $190.55 | Professional | None | $91.20 | $91.20 | $190.55 |
UPMC Health Plan Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $102.33 | Facility | None | $28.18 | $28.18 | $102.33 |
UPMC Health Plan Setting Professional Modifier None Typical Low $28.18 Median $79.43 Typical High $102.33 | Professional | None | $28.18 | $79.43 | $102.33 |
United Setting Facility Modifier None Typical Low $100.00 Median $208.93 Typical High $245.47 | Facility | None | $100.00 | $208.93 | $245.47 |
United Setting Professional Modifier None Typical Low $26.30 Median $64.57 Typical High $117.49 | Professional | None | $26.30 | $64.57 | $117.49 |
Where Pennsylvania sits
The same service costs 3.6 times more in North Carolina 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· 32nd of 51
$77.62
NC $123DC $33.88
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.