How much rates vary
Facilitymedian $68 · 10th to 90th $62 to $151Professionalmedian $63 · 10th to 90th $52 to $65
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 $43.65 Median $69.18 Typical High $151.36 | Facility | None | $43.65 | $69.18 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.33 Typical High $9.55 | Professional | 55 · Aftercare only | $9.33 | $9.33 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 56 · Pre-op care only | $6.31 | $6.31 | $6.31 |
AmeriHealth Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $77.62 | Facility | None | $67.61 | $67.61 | $77.62 |
Capital Blue Cross Setting Facility Modifier None Typical Low $60.26 Median $67.61 Typical High $81.28 | Facility | None | $60.26 | $67.61 | $81.28 |
Capital Blue Cross Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $64.57 | Professional | None | $58.88 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $104.71 Typical High $239.88 | Facility | None | $63.10 | $104.71 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Emblem Health Setting Professional Modifier None Typical Low $64.57 Median $67.61 Typical High $91.20 | Professional | None | $64.57 | $67.61 | $91.20 |
Geisinger Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Geisinger Setting Professional Modifier None Typical Low $4.37 Median $63.10 Typical High $107.15 | Professional | None | $4.37 | $63.10 | $107.15 |
Highmark BCBS Setting Facility Modifier None Typical Low $72.44 Median $151.36 Typical High $165.96 | Facility | None | $72.44 | $151.36 | $165.96 |
Independence Blue Cross Setting Facility Modifier None Typical Low $61.66 Median $63.10 Typical High $70.79 | Facility | None | $61.66 | $63.10 | $70.79 |
Martin's Point Setting Facility Modifier None Typical Low $60.26 Median $69.18 Typical High $151.36 | Facility | None | $60.26 | $69.18 | $151.36 |
Martin's Point Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $31.62 | $31.62 | $31.62 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $12.59 | $12.59 | $12.59 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.33 Typical High $9.55 | Professional | 55 · Aftercare only | $9.33 | $9.33 | $9.55 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 56 · Pre-op care only | $6.31 | $6.31 | $6.31 |
Oscar Health Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $20.89 | Professional | None | $10.96 | $10.96 | $20.89 |
UPMC Health Plan Setting Facility Modifier None Typical Low $42.66 Median $72.44 Typical High $77.62 | Facility | None | $42.66 | $72.44 | $77.62 |
UPMC Health Plan Setting Professional Modifier None Typical Low $42.66 Median $43.65 Typical High $50.12 | Professional | None | $42.66 | $43.65 | $50.12 |
United Setting Professional Modifier None Typical Low $51.29 Median $57.54 Typical High $64.57 | Professional | None | $51.29 | $57.54 | $64.57 |
Where Pennsylvania sits
Rates are fairly even across states for this service. 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· 32nd of 51
$63.10
AK $72.44NC $57.54
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.