How much rates vary
Facilitymedian $59 · 10th to 90th $42 to $4,266Professionalmedian $60 · 10th to 90th $44 to $115
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 $41.69 Median $54.95 Typical High $1,412.54 | Facility | None | $41.69 | $54.95 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $58.88 | Professional | None | $41.69 | $53.70 | $58.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $23.99 Typical High $28.84 | Professional | 52 · Reduced service | $20.89 | $23.99 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $7.24 Typical High $8.71 | Professional | 55 · Aftercare only | $6.31 | $7.24 | $8.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.79 Typical High $5.89 | Professional | 56 · Pre-op care only | $4.17 | $4.79 | $5.89 |
Ambetter Setting Professional Modifier None Typical Low $43.65 Median $56.23 Typical High $63.10 | Professional | None | $43.65 | $56.23 | $63.10 |
AmeriHealth Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $70.79 | Professional | None | $69.18 | $69.18 | $70.79 |
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 $61.66 Median $102.33 Typical High $134.90 | Professional | None | $61.66 | $102.33 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $58.88 Typical High $77.62 | Professional | None | $44.67 | $58.88 | $77.62 |
Emblem Health Setting Professional Modifier None Typical Low $75.86 Median $97.72 Typical High $128.82 | Professional | None | $75.86 | $97.72 | $128.82 |
Geisinger Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $109.65 | Professional | None | $51.29 | $60.26 | $109.65 |
Highmark BCBS Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $181.97 | Facility | None | $31.62 | $31.62 | $181.97 |
Highmark BCBS Setting Professional Modifier None Typical Low $63.10 Median $72.44 Typical High $77.62 | Professional | None | $63.10 | $72.44 | $77.62 |
Independence Blue Cross Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $72.44 | Professional | None | $69.18 | $69.18 | $72.44 |
Martin's Point Setting Facility Modifier None Typical Low $41.69 Median $54.95 Typical High $1,862.09 | Facility | None | $41.69 | $54.95 | $1,862.09 |
Martin's Point Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $58.88 | Professional | None | $41.69 | $53.70 | $58.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $23.99 Typical High $28.84 | Professional | 52 · Reduced service | $20.89 | $23.99 | $28.84 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $7.24 Typical High $8.71 | Professional | 55 · Aftercare only | $6.31 | $7.24 | $8.71 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.90 Typical High $5.89 | Professional | 56 · Pre-op care only | $4.17 | $4.90 | $5.89 |
Oscar Health Setting Professional Modifier None Typical Low $22.91 Median $70.79 Typical High $123.03 | Professional | None | $22.91 | $70.79 | $123.03 |
UPMC Health Plan Setting Facility Modifier None Typical Low $38.02 Median $60.26 Typical High $75.86 | Facility | None | $38.02 | $60.26 | $75.86 |
UPMC Health Plan Setting Professional Modifier None Typical Low $60.26 Median $66.07 Typical High $75.86 | Professional | None | $60.26 | $66.07 | $75.86 |
United Setting Professional Modifier None Typical Low $45.71 Median $57.54 Typical High $79.43 | Professional | None | $45.71 | $57.54 | $79.43 |
Where Pennsylvania sits
The same service costs 2.7 times more in Alaska 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· 29th of 51
$60.26
AK $126DC $46.77
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.