How much rates vary
Facilitymedian $66 · 10th to 90th $56 to $209Professionalmedian $56 · 10th to 90th $50 to $58
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 $56.23 Median $83.18 Typical High $144.54 | Facility | None | $56.23 | $83.18 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $57.54 Typical High $57.54 | Professional | None | $56.23 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $28.18 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $8.51 Typical High $8.71 | Professional | 55 · Aftercare only | $8.51 | $8.51 | $8.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $5.75 Typical High $5.75 | Professional | 56 · Pre-op care only | $5.62 | $5.75 | $5.75 |
Capital Blue Cross Setting Facility Modifier None Typical Low $53.70 Median $61.66 Typical High $72.44 | Facility | None | $53.70 | $61.66 | $72.44 |
Capital Blue Cross Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $95.50 Typical High $218.78 | Facility | None | $56.23 | $95.50 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Emblem Health Setting Professional Modifier None Typical Low $36.31 Median $53.70 Typical High $61.66 | Professional | None | $36.31 | $53.70 | $61.66 |
Geisinger Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Geisinger Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $102.33 | Professional | None | $56.23 | $56.23 | $102.33 |
Highmark BCBS Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Martin's Point Setting Facility Modifier None Typical Low $56.23 Median $83.18 Typical High $144.54 | Facility | None | $56.23 | $83.18 | $144.54 |
Martin's Point Setting Professional Modifier None Typical Low $56.23 Median $57.54 Typical High $57.54 | Professional | None | $56.23 | $57.54 | $57.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $28.18 | $28.84 | $28.84 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $11.48 | $11.48 | $11.48 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $8.51 Typical High $8.71 | Professional | 55 · Aftercare only | $8.51 | $8.51 | $8.71 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $5.75 Typical High $5.75 | Professional | 56 · Pre-op care only | $5.62 | $5.75 | $5.75 |
UPMC Health Plan Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $69.18 | Facility | None | $50.12 | $66.07 | $69.18 |
UPMC Health Plan Setting Professional Modifier None Typical Low $50.12 Median $51.29 Typical High $57.54 | Professional | None | $50.12 | $51.29 | $57.54 |
United Setting Professional Modifier None Typical Low $21.88 Median $54.95 Typical High $66.07 | Professional | None | $21.88 | $54.95 | $66.07 |
Where Pennsylvania sits
The same service costs 1.6 times more in Alaska than in Louisiana. 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· 21st of 51
$56.23
AK $83.18LA $52.48
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.