How much rates vary
Facilitymedian $155 · 10th to 90th $117 to $447Professionalmedian $117 · 10th to 90th $117 to $174
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 $117.49 Median $223.87 Typical High $549.54 | Facility | None | $117.49 | $223.87 | $549.54 |
Aetna Setting Facility Modifier JZ · No drug discarded Typical Low $275.42 Median $436.52 Typical High $1,023.29 | Facility | JZ · No drug discarded | $275.42 | $436.52 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $131.83 | Professional | None | $117.49 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 55 · Aftercare only | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 56 · Pre-op care only | $11.75 | $11.75 | $11.75 |
Capital Blue Cross Setting Facility Modifier None Typical Low $112.20 Median $125.89 Typical High $151.36 | Facility | None | $112.20 | $125.89 | $151.36 |
Capital Blue Cross Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $194.98 Typical High $446.68 | Facility | None | $117.49 | $194.98 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
Geisinger Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Geisinger Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $208.93 | Professional | None | $177.83 | $177.83 | $208.93 |
Highmark BCBS Setting Facility Modifier None Typical Low $281.84 Median $363.08 Typical High $524.81 | Facility | None | $281.84 | $363.08 | $524.81 |
Highmark BCBS Setting Facility Modifier JZ · No drug discarded Typical Low $158.49 Median $354.81 Typical High $575.44 | Facility | JZ · No drug discarded | $158.49 | $354.81 | $575.44 |
Martin's Point Setting Facility Modifier None Typical Low $117.49 Median $223.87 Typical High $758.58 | Facility | None | $117.49 | $223.87 | $758.58 |
Martin's Point Setting Facility Modifier JZ · No drug discarded Typical Low $275.42 Median $436.52 Typical High $1,023.29 | Facility | JZ · No drug discarded | $275.42 | $436.52 | $1,023.29 |
Martin's Point Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $131.83 | Professional | None | $117.49 | $117.49 | $131.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $58.88 | $58.88 | $58.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $23.44 | $23.44 | $23.44 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 55 · Aftercare only | $17.78 | $17.78 | $17.78 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 56 · Pre-op care only | $11.75 | $11.75 | $11.75 |
UPMC Health Plan Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $199.53 | Facility | None | $134.90 | $134.90 | $199.53 |
UPMC Health Plan Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $199.53 | Professional | None | $173.78 | $173.78 | $199.53 |
United Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
United Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $269.15 | Professional | None | $147.91 | $147.91 | $269.15 |
Where Pennsylvania sits
The same service costs 2.0 times more in Kansas than in Georgia. 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· 46th of 51
$132
KS $234GA $117
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.