How much rates vary
Facilitymedian $138 · 10th to 90th $19 to $708Professionalmedian $56 · 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 $81.28 Median $104.71 Typical High $524.81 | Facility | None | $81.28 | $104.71 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $85.11 Typical High $97.72 | Professional | None | $38.02 | $85.11 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $42.66 Typical High $48.98 | Professional | 52 · Reduced service | $37.15 | $42.66 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.98 Typical High $19.50 | Professional | 53 · Discontinued | $14.79 | $16.98 | $19.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $64.57 Typical High $72.44 | Professional | 54 · Surgery only | $56.23 | $64.57 | $72.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $12.88 Typical High $14.45 | Professional | 55 · Aftercare only | $11.22 | $12.88 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $8.51 Typical High $9.77 | Professional | 56 · Pre-op care only | $7.41 | $8.51 | $9.77 |
AmeriHealth Setting Facility Modifier None Typical Low $19,952.62 Median $19,952.62 Typical High $19,952.62 | Facility | None | $19,952.62 | $19,952.62 | $19,952.62 |
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 $17.78 Median $18.20 Typical High $18.20 | Professional | None | $17.78 | $18.20 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $51.29 Typical High $112.20 | Professional | None | $19.05 | $51.29 | $112.20 |
Emblem Health Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Highmark BCBS Setting Facility Modifier None Typical Low $138.04 Median $407.38 Typical High $512.86 | Facility | None | $138.04 | $407.38 | $512.86 |
Independence Blue Cross Setting Facility Modifier None Typical Low $19,952.62 Median $19,952.62 Typical High $25,703.96 | Facility | None | $19,952.62 | $19,952.62 | $25,703.96 |
Martin's Point Setting Facility Modifier None Typical Low $83.18 Median $346.74 Typical High $524.81 | Facility | None | $83.18 | $346.74 | $524.81 |
Martin's Point Setting Professional Modifier None Typical Low $38.02 Median $85.11 Typical High $97.72 | Professional | None | $38.02 | $85.11 | $97.72 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $45.71 Typical High $48.98 | Professional | 52 · Reduced service | $41.69 | $45.71 | $48.98 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $18.20 Typical High $19.50 | Professional | 53 · Discontinued | $16.60 | $18.20 | $19.50 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $69.18 Typical High $72.44 | Professional | 54 · Surgery only | $63.10 | $69.18 | $72.44 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $13.80 Typical High $14.45 | Professional | 55 · Aftercare only | $12.59 | $13.80 | $14.45 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $9.12 Typical High $9.77 | Professional | 56 · Pre-op care only | $8.32 | $9.12 | $9.77 |
Oscar Health Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $77.62 | Professional | None | $23.99 | $23.99 | $77.62 |
UPMC Health Plan Setting Facility Modifier None Typical Low $17.38 Median $21.88 Typical High $37.15 | Facility | None | $17.38 | $21.88 | $37.15 |
UPMC Health Plan Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
United Setting Facility Modifier None Typical Low $275.42 Median $588.84 Typical High $676.08 | Facility | None | $275.42 | $588.84 | $676.08 |
United Setting Professional Modifier None Typical Low $33.88 Median $72.44 Typical High $93.33 | Professional | None | $33.88 | $72.44 | $93.33 |
Where Pennsylvania sits
The same service costs 4.5 times more in Alaska than in Ohio. 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· 37th of 51
$60.26
AK $141OH $31.62
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.