How much rates vary
Facilitymedian $37 · 10th to 90th $22 to $5,012Professionalmedian $34 · 10th to 90th $18 to $43
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $18.20 Median $21.88 Typical High $42.66 | Facility | None | $18.20 | $21.88 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $23.44 Typical High $42.66 | Professional | None | $18.20 | $23.44 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $11.75 Typical High $21.38 | Professional | 52 · Reduced service | $9.12 | $11.75 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.75 Median $3.47 Typical High $6.46 | Professional | 55 · Aftercare only | $2.75 | $3.47 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $2.34 Typical High $4.27 | Professional | 56 · Pre-op care only | $1.82 | $2.34 | $4.27 |
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 $47.86 Median $66.07 Typical High $66.07 | Professional | None | $47.86 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Emblem Health Setting Professional Modifier None Typical Low $38.90 Median $58.88 Typical High $79.43 | Professional | None | $38.90 | $58.88 | $79.43 |
Geisinger Setting Professional Modifier None Typical Low $25.70 Median $39.81 Typical High $70.79 | Professional | None | $25.70 | $39.81 | $70.79 |
Highmark BCBS Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $35.48 | Professional | None | $34.67 | $34.67 | $35.48 |
Martin's Point Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $42.66 | Facility | None | $21.88 | $21.88 | $42.66 |
Martin's Point Setting Professional Modifier None Typical Low $18.20 Median $23.44 Typical High $42.66 | Professional | None | $18.20 | $23.44 | $42.66 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $11.75 Typical High $21.38 | Professional | 52 · Reduced service | $9.12 | $11.75 | $21.38 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2.75 Median $3.47 Typical High $6.46 | Professional | 55 · Aftercare only | $2.75 | $3.47 | $6.46 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $2.34 Typical High $4.27 | Professional | 56 · Pre-op care only | $1.82 | $2.34 | $4.27 |
Oscar Health Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $81.28 | Professional | None | $39.81 | $41.69 | $81.28 |
UPMC Health Plan Setting Facility Modifier None Typical Low $19.50 Median $33.88 Typical High $37.15 | Facility | None | $19.50 | $33.88 | $37.15 |
UPMC Health Plan Setting Professional Modifier None Typical Low $19.50 Median $33.88 Typical High $37.15 | Professional | None | $19.50 | $33.88 | $37.15 |
United Setting Facility Modifier None Typical Low $181.97 Median $389.05 Typical High $446.68 | Facility | None | $181.97 | $389.05 | $446.68 |
United Setting Professional Modifier None Typical Low $18.20 Median $30.90 Typical High $41.69 | Professional | None | $18.20 | $30.90 | $41.69 |
Where Pennsylvania sits
The same service costs 2.6 times more in Alaska than in Kentucky. 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· 35th of 51
$33.88
AK $66.07KY $25.12
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.