How much rates vary
Facilitymedian $87 · 10th to 90th $72 to $282Professionalmedian $74 · 10th to 90th $72 to $115
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 $72.44 Median $77.62 Typical High $213.80 | Facility | None | $72.44 | $77.62 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $74.13 Typical High $77.62 | Professional | None | $72.44 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $37.15 Typical High $38.90 | Professional | 52 · Reduced service | $36.31 | $37.15 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.79 Typical High $15.49 | Professional | 53 · Discontinued | $14.45 | $14.79 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $10.96 Typical High $11.48 | Professional | 55 · Aftercare only | $10.96 | $10.96 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.41 Typical High $7.76 | Professional | 56 · Pre-op care only | $7.24 | $7.41 | $7.76 |
Capital Blue Cross Setting Facility Modifier None Typical Low $69.18 Median $79.43 Typical High $93.33 | Facility | None | $69.18 | $79.43 | $93.33 |
Capital Blue Cross Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $151.36 | Professional | None | $75.86 | $75.86 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $123.03 Typical High $281.84 | Facility | None | $72.44 | $123.03 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $93.33 | Professional | None | $72.44 | $72.44 | $93.33 |
Emblem Health Setting Professional Modifier None Typical Low $63.10 Median $79.43 Typical High $117.49 | Professional | None | $63.10 | $79.43 | $117.49 |
Geisinger Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Geisinger Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $131.83 | Professional | None | $72.44 | $72.44 | $131.83 |
Highmark BCBS Setting Facility Modifier None Typical Low $398.11 Median $562.34 Typical High $588.84 | Facility | None | $398.11 | $562.34 | $588.84 |
Martin's Point Setting Facility Modifier None Typical Low $72.44 Median $77.62 Typical High $213.80 | Facility | None | $72.44 | $77.62 | $213.80 |
Martin's Point Setting Professional Modifier None Typical Low $72.44 Median $74.13 Typical High $75.86 | Professional | None | $72.44 | $74.13 | $75.86 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $37.15 Typical High $38.02 | Professional | 52 · Reduced service | $36.31 | $37.15 | $38.02 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.79 Typical High $15.49 | Professional | 53 · Discontinued | $14.45 | $14.79 | $15.49 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $10.96 Typical High $11.48 | Professional | 55 · Aftercare only | $10.96 | $10.96 | $11.48 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.41 Typical High $7.59 | Professional | 56 · Pre-op care only | $7.24 | $7.41 | $7.59 |
UPMC Health Plan Setting Facility Modifier None Typical Low $100.00 Median $114.82 Typical High $138.04 | Facility | None | $100.00 | $114.82 | $138.04 |
UPMC Health Plan Setting Professional Modifier None Typical Low $100.00 Median $102.33 Typical High $114.82 | Professional | None | $100.00 | $102.33 | $114.82 |
United Setting Professional Modifier None Typical Low $29.51 Median $74.13 Typical High $131.83 | Professional | None | $29.51 | $74.13 | $131.83 |
Where Pennsylvania sits
The same service costs 1.6 times more in Hawaii than in Delaware. 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· 25th of 51
$74.13
HI $115DE $72.44
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.