How much rates vary
Facilitymedian $30 · 10th to 90th $26 to $68Professionalmedian $28 · 10th to 90th $25 to $30
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 $25.70 Median $28.18 Typical High $67.61 | Facility | None | $25.70 | $28.18 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 52 · Reduced service | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 53 · Discontinued | $5.62 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | 55 · Aftercare only | $4.27 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.82 | $2.82 | $2.82 |
AmeriHealth Setting Facility Modifier None Typical Low $27.54 Median $30.20 Typical High $35.48 | Facility | None | $27.54 | $30.20 | $35.48 |
Capital Blue Cross Setting Facility Modifier None Typical Low $26.92 Median $30.20 Typical High $36.31 | Facility | None | $26.92 | $30.20 | $36.31 |
Capital Blue Cross Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $46.77 Typical High $107.15 | Facility | None | $28.18 | $46.77 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Geisinger Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Geisinger Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $50.12 | Professional | None | $42.66 | $42.66 | $50.12 |
Highmark BCBS Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $199.53 | Facility | None | $173.78 | $173.78 | $199.53 |
Independence Blue Cross Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $30.20 | Facility | None | $26.30 | $26.30 | $30.20 |
Martin's Point Setting Facility Modifier None Typical Low $25.70 Median $37.15 Typical High $67.61 | Facility | None | $25.70 | $37.15 | $67.61 |
Martin's Point Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 52 · Reduced service | $14.13 | $14.13 | $14.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 53 · Discontinued | $5.62 | $5.62 | $5.62 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | 55 · Aftercare only | $4.27 | $4.27 | $4.27 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.82 | $2.82 | $2.82 |
UPMC Health Plan Setting Facility Modifier None Typical Low $23.99 Median $32.36 Typical High $37.15 | Facility | None | $23.99 | $32.36 | $37.15 |
UPMC Health Plan Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $27.54 | Professional | None | $23.99 | $23.99 | $27.54 |
United Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $43.65 | Professional | None | $24.55 | $24.55 | $43.65 |
Where Pennsylvania sits
The same service costs 2.2 times more in Alaska than in Oklahoma. 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· 16th of 51
$28.18
AK $48.98OK $22.39
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.