How much rates vary
Facilitymedian $35 · 10th to 90th $22 to $120Professionalmedian $33 · 10th to 90th $27 to $56
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 $34.67 Median $40.74 Typical High $47.86 | Facility | None | $34.67 | $40.74 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $38.02 Typical High $47.86 | Professional | None | $33.11 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $19.05 Typical High $23.99 | Professional | 52 · Reduced service | $16.60 | $19.05 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.59 Typical High $9.55 | Professional | 53 · Discontinued | $6.61 | $7.59 | $9.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $5.75 Typical High $7.08 | Professional | 55 · Aftercare only | $5.01 | $5.75 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $3.80 Typical High $4.79 | Professional | 56 · Pre-op care only | $3.31 | $3.80 | $4.79 |
Ambetter Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $31.62 | Professional | None | $30.90 | $30.90 | $31.62 |
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 $31.62 Median $47.86 Typical High $57.54 | Professional | None | $31.62 | $47.86 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Emblem Health Setting Professional Modifier None Typical Low $37.15 Median $46.77 Typical High $64.57 | Professional | None | $37.15 | $46.77 | $64.57 |
Geisinger Setting Professional Modifier None Typical Low $19.50 Median $33.11 Typical High $58.88 | Professional | None | $19.50 | $33.11 | $58.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $34.67 Median $60.26 Typical High $120.23 | Facility | None | $34.67 | $60.26 | $120.23 |
Independence Blue Cross Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $33.11 | Professional | None | $28.18 | $28.18 | $33.11 |
Martin's Point Setting Facility Modifier None Typical Low $34.67 Median $40.74 Typical High $47.86 | Facility | None | $34.67 | $40.74 | $47.86 |
Martin's Point Setting Professional Modifier None Typical Low $33.11 Median $38.02 Typical High $47.86 | Professional | None | $33.11 | $38.02 | $47.86 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $19.05 Typical High $23.99 | Professional | 52 · Reduced service | $16.60 | $19.05 | $23.99 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.59 Typical High $9.55 | Professional | 53 · Discontinued | $6.61 | $7.59 | $9.55 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $5.75 Typical High $7.08 | Professional | 55 · Aftercare only | $5.01 | $5.75 | $7.08 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $3.80 Typical High $4.79 | Professional | 56 · Pre-op care only | $3.31 | $3.80 | $4.79 |
Oscar Health Setting Professional Modifier None Typical Low $39.81 Median $54.95 Typical High $56.23 | Professional | None | $39.81 | $54.95 | $56.23 |
UPMC Health Plan Setting Facility Modifier None Typical Low $20.89 Median $30.90 Typical High $50.12 | Facility | None | $20.89 | $30.90 | $50.12 |
UPMC Health Plan Setting Professional Modifier None Typical Low $20.89 Median $22.91 Typical High $30.90 | Professional | None | $20.89 | $22.91 | $30.90 |
United Setting Facility Modifier None Typical Low $21.88 Median $23.99 Typical High $23.99 | Facility | None | $21.88 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $21.38 Median $28.18 Typical High $39.81 | Professional | None | $21.38 | $28.18 | $39.81 |
Where Pennsylvania sits
The same service costs 3.8 times more in Alaska than in Indiana. 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· 29th of 51
$33.11
AK $74.13IN $19.50
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.