How much rates vary
Facilitymedian $44 · 10th to 90th $40 to $447Professionalmedian $41 · 10th to 90th $32 to $66
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 $32.36 Median $32.36 Typical High $40.74 | Facility | None | $32.36 | $32.36 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $40.74 | Professional | None | $32.36 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $16.22 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $6.46 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $6.03 Typical High $6.03 | Professional | 55 · Aftercare only | $4.79 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $4.07 Typical High $4.07 | Professional | 56 · Pre-op care only | $3.24 | $4.07 | $4.07 |
AmeriHealth Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
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 $52.48 Median $66.07 Typical High $66.07 | Professional | None | $52.48 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $48.98 | Facility | None | $39.81 | $39.81 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $323.59 | Professional | None | $33.88 | $33.88 | $323.59 |
Emblem Health Setting Professional Modifier None Typical Low $61.66 Median $97.72 Typical High $112.20 | Professional | None | $61.66 | $97.72 | $112.20 |
Geisinger Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Geisinger Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $67.61 | Professional | None | $39.81 | $46.77 | $67.61 |
Highmark BCBS Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Highmark BCBS Setting Professional Modifier None Typical Low $45.71 Median $48.98 Typical High $48.98 | Professional | None | $45.71 | $48.98 | $48.98 |
Independence Blue Cross Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Martin's Point Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $40.74 | Facility | None | $32.36 | $32.36 | $40.74 |
Martin's Point Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $40.74 | Professional | None | $32.36 | $40.74 | $40.74 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $16.22 | $19.95 | $19.95 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $6.46 | $8.13 | $8.13 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $6.03 Typical High $6.03 | Professional | 55 · Aftercare only | $4.79 | $6.03 | $6.03 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $4.07 Typical High $4.07 | Professional | 56 · Pre-op care only | $3.24 | $4.07 | $4.07 |
Oscar Health Setting Professional Modifier None Typical Low $66.07 Median $93.33 Typical High $100.00 | Professional | None | $66.07 | $93.33 | $100.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $43.65 Median $213.80 Typical High $363.08 | Facility | None | $43.65 | $213.80 | $363.08 |
UPMC Health Plan Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $63.10 | Professional | None | $43.65 | $43.65 | $63.10 |
United Setting Professional Modifier None Typical Low $25.12 Median $33.11 Typical High $54.95 | Professional | None | $25.12 | $33.11 | $54.95 |
Where Pennsylvania sits
The same service costs 2.3 times more in Kansas than in New Jersey. 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· 36th of 51
$40.74
KS $79.43NJ $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.