How much rates vary
Facilitymedian $91 · 10th to 90th $13 to $5,012Professionalmedian $15 · 10th to 90th $13 to $21
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 $12.59 Median $12.59 Typical High $15.14 | Facility | None | $12.59 | $12.59 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $13.80 Typical High $17.38 | Professional | None | $12.59 | $13.80 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.86 Median $2.09 Typical High $2.57 | Professional | 55 · Aftercare only | $1.86 | $2.09 | $2.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.26 Median $1.38 Typical High $1.74 | Professional | 56 · Pre-op care only | $1.26 | $1.38 | $1.74 |
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 $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Highmark BCBS Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Martin's Point Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $15.14 | Facility | None | $12.59 | $12.59 | $15.14 |
Martin's Point Setting Professional Modifier None Typical Low $12.59 Median $13.80 Typical High $15.14 | Professional | None | $12.59 | $13.80 | $15.14 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.86 Median $2.09 Typical High $2.29 | Professional | 55 · Aftercare only | $1.86 | $2.09 | $2.29 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.26 Median $1.38 Typical High $1.51 | Professional | 56 · Pre-op care only | $1.26 | $1.38 | $1.51 |
UPMC Health Plan Setting Facility Modifier None Typical Low $19.95 Median $91.20 Typical High $154.88 | Facility | None | $19.95 | $91.20 | $154.88 |
UPMC Health Plan Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $20.89 | Professional | None | $19.95 | $19.95 | $20.89 |
United Setting Professional Modifier None Typical Low $7.59 Median $19.95 Typical High $31.62 | Professional | None | $7.59 | $19.95 | $31.62 |
Where Pennsylvania sits
The same service costs 3.5 times more in Florida than in Alabama. 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
$16.98
FL $34.67AL $10.00
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.