How much rates vary
Facilitymedian $37 · 10th to 90th $32 to $110Professionalmedian $32 · 10th to 90th $32 to $41
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 $32.36 Median $46.77 Typical High $85.11 | Facility | None | $32.36 | $46.77 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $40.74 | Professional | None | $32.36 | $32.36 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $4.90 Typical High $4.90 | Professional | 55 · Aftercare only | $4.79 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $3.24 |
Capital Blue Cross Setting Facility Modifier None Typical Low $30.90 Median $34.67 Typical High $41.69 | Facility | None | $30.90 | $34.67 | $41.69 |
Capital Blue Cross Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $34.67 | Professional | None | $33.88 | $33.88 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $53.70 Typical High $123.03 | Facility | None | $32.36 | $53.70 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Geisinger Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Geisinger Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $57.54 | Professional | None | $48.98 | $48.98 | $57.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $56.23 Median $87.10 Typical High $109.65 | Facility | None | $56.23 | $87.10 | $109.65 |
Martin's Point Setting Facility Modifier None Typical Low $32.36 Median $50.12 Typical High $85.11 | Facility | None | $32.36 | $50.12 | $85.11 |
Martin's Point Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $37.15 | Professional | None | $32.36 | $32.36 | $37.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.22 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.46 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $4.90 Typical High $4.90 | Professional | 55 · Aftercare only | $4.79 | $4.90 | $4.90 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $3.24 |
UPMC Health Plan Setting Facility Modifier None Typical Low $29.51 Median $37.15 Typical High $39.81 | Facility | None | $29.51 | $37.15 | $39.81 |
UPMC Health Plan Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $34.67 | Professional | None | $29.51 | $29.51 | $34.67 |
United Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $46.77 | Professional | None | $31.62 | $31.62 | $46.77 |
Where Pennsylvania sits
The same service costs 2.0 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· 28th of 51
$32.36
AK $58.88OK $29.51
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.