How much rates vary
Facilitymedian $2,512 · 10th to 90th $2,138 to $8,128Professionalmedian $2,138 · 10th to 90th $2,138 to $2,754
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 $2,137.96 Median $2,884.03 Typical High $5,623.41 | Facility | None | $2,137.96 | $2,884.03 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,187.76 Typical High $3,090.30 | Professional | None | $2,137.96 | $2,187.76 | $3,090.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,071.52 Median $1,096.48 Typical High $1,096.48 | Professional | 52 · Reduced service | $1,071.52 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 53 · Discontinued | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 55 · Aftercare only | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $213.80 | $218.78 | $218.78 |
AmeriHealth Setting Facility Modifier None Typical Low $2,344.23 Median $8,511.38 Typical High $18,620.87 | Facility | None | $2,344.23 | $8,511.38 | $18,620.87 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2,089.30 Median $2,344.23 Typical High $5,011.87 | Facility | None | $2,089.30 | $2,344.23 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,238.72 | $2,238.72 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $3,630.78 Typical High $8,317.64 | Facility | None | $2,137.96 | $3,630.78 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Geisinger Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Geisinger Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,890.45 | Professional | None | $3,235.94 | $3,235.94 | $3,890.45 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $4,786.30 Typical High $7,079.46 | Facility | None | $2,398.83 | $4,786.30 | $7,079.46 |
Independence Blue Cross Setting Facility Modifier None Typical Low $2,290.87 Median $10,964.78 Typical High $18,620.87 | Facility | None | $2,290.87 | $10,964.78 | $18,620.87 |
Martin's Point Setting Facility Modifier None Typical Low $2,137.96 Median $2,884.03 Typical High $5,623.41 | Facility | None | $2,137.96 | $2,884.03 | $5,623.41 |
Martin's Point Setting Professional Modifier None Typical Low $2,137.96 Median $2,187.76 Typical High $3,090.30 | Professional | None | $2,137.96 | $2,187.76 | $3,090.30 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1,071.52 Median $1,096.48 Typical High $1,096.48 | Professional | 52 · Reduced service | $1,071.52 | $1,096.48 | $1,096.48 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 53 · Discontinued | $436.52 | $436.52 | $436.52 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 55 · Aftercare only | $323.59 | $323.59 | $323.59 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $213.80 | $218.78 | $218.78 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1,905.46 Median $2,511.89 Typical High $2,630.27 | Facility | None | $1,905.46 | $2,511.89 | $2,630.27 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,238.72 | Professional | None | $1,905.46 | $1,905.46 | $2,238.72 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,951.21 | Professional | None | $2,137.96 | $2,137.96 | $2,951.21 |
Where Pennsylvania sits
The same service costs 2.0 times more in Arizona than in Alabama. 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· 17th of 51
$2,188
AZ $3,311AL $1,660
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.