How much rates vary
Facilitymedian $63 · 10th to 90th $55 to $151Professionalmedian $55 · 10th to 90th $55 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 $54.95 Median $83.18 Typical High $151.36 | Facility | None | $54.95 | $83.18 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $60.26 | Professional | None | $54.95 | $54.95 | $60.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $10.96 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 55 · Aftercare only | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | 56 · Pre-op care only | $5.50 | $5.50 | $5.50 |
AmeriHealth Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $69.18 | Facility | None | $60.26 | $60.26 | $69.18 |
Capital Blue Cross Setting Facility Modifier None Typical Low $52.48 Median $60.26 Typical High $70.79 | Facility | None | $52.48 | $60.26 | $70.79 |
Capital Blue Cross Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $91.20 Typical High $208.93 | Facility | None | $54.95 | $91.20 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Geisinger Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Geisinger Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $100.00 | Professional | None | $83.18 | $83.18 | $100.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $91.20 | Facility | None | $67.61 | $67.61 | $91.20 |
Independence Blue Cross Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $69.18 | Facility | None | $58.88 | $58.88 | $69.18 |
Martin's Point Setting Facility Modifier None Typical Low $54.95 Median $83.18 Typical High $151.36 | Facility | None | $54.95 | $83.18 | $151.36 |
Martin's Point Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $60.26 | Professional | None | $54.95 | $54.95 | $60.26 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $27.54 | $27.54 | $27.54 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $10.96 | $11.22 | $11.22 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 55 · Aftercare only | $8.32 | $8.32 | $8.32 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | 56 · Pre-op care only | $5.50 | $5.50 | $5.50 |
UPMC Health Plan Setting Facility Modifier None Typical Low $57.54 Median $63.10 Typical High $67.61 | Facility | None | $57.54 | $63.10 | $67.61 |
UPMC Health Plan Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $66.07 | Professional | None | $57.54 | $57.54 | $66.07 |
United Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $97.72 | Professional | None | $54.95 | $54.95 | $97.72 |
Where Pennsylvania sits
The same service costs 2.7 times more in Oklahoma than in West 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· 26th of 51
$57.54
OK $148WV $54.95
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.