How much rates vary
Facilitymedian $1,259 · 10th to 90th $11 to $32,359Professionalmedian $11 · 10th to 90th $11 to $417
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 $11.22 Median $11.22 Typical High $22.91 | Facility | None | $11.22 | $11.22 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 52 · Reduced service | $5.62 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | 53 · Discontinued | $2.24 | $2.24 | $2.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.66 Median $1.66 Typical High $1.66 | Professional | 55 · Aftercare only | $1.66 | $1.66 | $1.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | 56 · Pre-op care only | $1.12 | $1.12 | $1.12 |
AmeriHealth Setting Facility Modifier None Typical Low $15,488.17 Median $31,622.78 Typical High $41,686.94 | Facility | None | $15,488.17 | $31,622.78 | $41,686.94 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $1,513.56 | Facility | None | $1,023.29 | $1,202.26 | $1,513.56 |
Independence Blue Cross Setting Facility Modifier None Typical Low $15,488.17 Median $24,547.09 Typical High $41,686.94 | Facility | None | $15,488.17 | $24,547.09 | $41,686.94 |
Martin's Point Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $22.91 | Facility | None | $11.22 | $11.22 | $22.91 |
Martin's Point Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 52 · Reduced service | $5.62 | $5.62 | $5.62 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | 53 · Discontinued | $2.24 | $2.24 | $2.24 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.66 Median $1.66 Typical High $1.66 | Professional | 55 · Aftercare only | $1.66 | $1.66 | $1.66 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | 56 · Pre-op care only | $1.12 | $1.12 | $1.12 |
UPMC Health Plan Setting Facility Modifier None Typical Low $912.01 Median $1,258.93 Typical High $2,041.74 | Facility | None | $912.01 | $1,258.93 | $2,041.74 |
Where Pennsylvania sits
The same service costs 190.5 times more in Colorado than in Virginia. 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· 45th of 51
$11.22
CO $2,138VA $11.22
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.