How much rates vary
Facilitymedian $76 · 10th to 90th $51 to $4,266Professionalmedian $85 · 10th to 90th $65 to $151
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 $61.66 Median $74.13 Typical High $1,412.54 | Facility | None | $61.66 | $74.13 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $79.43 | Professional | None | $61.66 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $34.67 Typical High $39.81 | Professional | 52 · Reduced service | $30.90 | $34.67 | $39.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $10.47 Typical High $12.02 | Professional | 55 · Aftercare only | $9.33 | $10.47 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.92 Typical High $7.94 | Professional | 56 · Pre-op care only | $6.17 | $6.92 | $7.94 |
Ambetter Setting Professional Modifier None Typical Low $64.57 Median $85.11 Typical High $91.20 | Professional | None | $64.57 | $85.11 | $91.20 |
AmeriHealth Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $104.71 | Professional | None | $83.18 | $97.72 | $104.71 |
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 $85.11 Median $138.04 Typical High $165.96 | Professional | None | $85.11 | $138.04 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $81.28 Typical High $109.65 | Professional | None | $66.07 | $81.28 | $109.65 |
Emblem Health Setting Professional Modifier None Typical Low $104.71 Median $131.83 Typical High $177.83 | Professional | None | $104.71 | $131.83 | $177.83 |
Geisinger Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $147.91 | Professional | None | $70.79 | $83.18 | $147.91 |
Highmark BCBS Setting Facility Modifier None Typical Low $43.65 Median $158.49 Typical High $269.15 | Facility | None | $43.65 | $158.49 | $269.15 |
Highmark BCBS Setting Professional Modifier None Typical Low $85.11 Median $91.20 Typical High $107.15 | Professional | None | $85.11 | $91.20 | $107.15 |
Independence Blue Cross Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $114.82 | Professional | None | $83.18 | $97.72 | $114.82 |
Martin's Point Setting Facility Modifier None Typical Low $61.66 Median $74.13 Typical High $1,862.09 | Facility | None | $61.66 | $74.13 | $1,862.09 |
Martin's Point Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $79.43 | Professional | None | $61.66 | $72.44 | $79.43 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $34.67 Typical High $39.81 | Professional | 52 · Reduced service | $30.90 | $34.67 | $39.81 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $10.47 Typical High $12.02 | Professional | 55 · Aftercare only | $9.33 | $10.47 | $12.02 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.92 Typical High $7.94 | Professional | 56 · Pre-op care only | $6.17 | $6.92 | $7.94 |
Oscar Health Setting Professional Modifier None Typical Low $22.91 Median $97.72 Typical High $173.78 | Professional | None | $22.91 | $97.72 | $173.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $47.86 Median $75.86 Typical High $112.20 | Facility | None | $47.86 | $75.86 | $112.20 |
UPMC Health Plan Setting Professional Modifier None Typical Low $85.11 Median $100.00 Typical High $112.20 | Professional | None | $85.11 | $100.00 | $112.20 |
United Setting Professional Modifier None Typical Low $67.61 Median $83.18 Typical High $112.20 | Professional | None | $67.61 | $83.18 | $112.20 |
Where Pennsylvania sits
The same service costs 2.9 times more in Alaska than in Florida. 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
$85.11
AK $186FL $64.57
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.