How much rates vary
Facilitymedian $87 · 10th to 90th $79 to $129Professionalmedian $100 · 10th to 90th $81 to $170
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 $79.43 Median $83.18 Typical High $117.49 | Facility | None | $79.43 | $83.18 | $117.49 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $39.81 Median $40.74 Typical High $44.67 | Facility | 52 · Reduced service | $39.81 | $40.74 | $44.67 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $11.75 Median $12.02 Typical High $13.49 | Facility | 55 · Aftercare only | $11.75 | $12.02 | $13.49 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $7.94 Median $8.13 Typical High $9.12 | Facility | 56 · Pre-op care only | $7.94 | $8.13 | $9.12 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $141.25 | Professional | None | $81.28 | $91.20 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $40.74 Typical High $44.67 | Professional | 52 · Reduced service | $39.81 | $40.74 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $12.02 Typical High $13.49 | Professional | 55 · Aftercare only | $11.75 | $12.02 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $8.13 Typical High $8.91 | Professional | 56 · Pre-op care only | $7.94 | $8.13 | $8.91 |
Ambetter Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
AmeriHealth Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $112.20 | Professional | None | $107.15 | $107.15 | $112.20 |
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 $125.89 Median $125.89 Typical High $199.53 | Professional | None | $125.89 | $125.89 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $134.90 Typical High $190.55 | Professional | None | $87.10 | $134.90 | $190.55 |
Emblem Health Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Geisinger Setting Professional Modifier None Typical Low $144.54 Median $199.53 Typical High $239.88 | Professional | None | $144.54 | $199.53 | $239.88 |
Independence Blue Cross Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $112.20 | Professional | None | $107.15 | $107.15 | $112.20 |
Martin's Point Setting Facility Modifier None Typical Low $79.43 Median $81.28 Typical High $114.82 | Facility | None | $79.43 | $81.28 | $114.82 |
Martin's Point Setting Facility Modifier 52 · Reduced service Typical Low $39.81 Median $40.74 Typical High $44.67 | Facility | 52 · Reduced service | $39.81 | $40.74 | $44.67 |
Martin's Point Setting Facility Modifier 55 · Aftercare only Typical Low $11.75 Median $12.02 Typical High $13.49 | Facility | 55 · Aftercare only | $11.75 | $12.02 | $13.49 |
Martin's Point Setting Facility Modifier 56 · Pre-op care only Typical Low $7.94 Median $8.13 Typical High $9.12 | Facility | 56 · Pre-op care only | $7.94 | $8.13 | $9.12 |
Martin's Point Setting Professional Modifier None Typical Low $79.43 Median $91.20 Typical High $134.90 | Professional | None | $79.43 | $91.20 | $134.90 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $40.74 Typical High $42.66 | Professional | 52 · Reduced service | $39.81 | $40.74 | $42.66 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $12.02 Typical High $12.59 | Professional | 55 · Aftercare only | $11.75 | $12.02 | $12.59 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $8.13 Typical High $8.51 | Professional | 56 · Pre-op care only | $7.94 | $8.13 | $8.51 |
UPMC Health Plan Setting Facility Modifier None Typical Low $100.00 Median $107.15 Typical High $128.82 | Facility | None | $100.00 | $107.15 | $128.82 |
UPMC Health Plan Setting Professional Modifier None Typical Low $100.00 Median $107.15 Typical High $128.82 | Professional | None | $100.00 | $107.15 | $128.82 |
United Setting Professional Modifier None Typical Low $91.20 Median $120.23 Typical High $186.21 | Professional | None | $91.20 | $120.23 | $186.21 |
Where Pennsylvania sits
The same service costs 2.9 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· 39th of 51
$100
AK $224OH $77.62
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.