How much rates vary
Facilitymedian $87 · 10th to 90th $14 to $195Professionalmedian $52 · 10th to 90th $48 to $141
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 $21.38 Median $52.48 Typical High $77.62 | Facility | None | $21.38 | $52.48 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 55 · Aftercare only | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | 56 · Pre-op care only | $5.25 | $5.25 | $5.25 |
Capital Blue Cross Setting Facility Modifier None Typical Low $123.03 Median $141.25 Typical High $169.82 | Facility | None | $123.03 | $141.25 | $169.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $128.82 Median $141.25 Typical High $141.25 | Professional | None | $128.82 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $87.10 Typical High $199.53 | Facility | None | $52.48 | $87.10 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Emblem Health Setting Professional Modifier None Typical Low $9.33 Median $53.70 Typical High $57.54 | Professional | None | $9.33 | $53.70 | $57.54 |
Geisinger Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Geisinger Setting Professional Modifier None Typical Low $7.94 Median $8.13 Typical High $19.05 | Professional | None | $7.94 | $8.13 | $19.05 |
Highmark BCBS Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Martin's Point Setting Facility Modifier None Typical Low $28.18 Median $52.48 Typical High $77.62 | Facility | None | $28.18 | $52.48 | $77.62 |
Martin's Point Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $10.47 | $10.47 | $10.47 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 55 · Aftercare only | $7.76 | $7.76 | $7.76 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | 56 · Pre-op care only | $5.25 | $5.25 | $5.25 |
Oscar Health Setting Professional Modifier None Typical Low $13.80 Median $15.85 Typical High $15.85 | Professional | None | $13.80 | $15.85 | $15.85 |
UPMC Health Plan Setting Facility Modifier None Typical Low $12.59 Median $14.13 Typical High $14.45 | Facility | None | $12.59 | $14.13 | $14.45 |
UPMC Health Plan Setting Professional Modifier None Typical Low $12.59 Median $12.88 Typical High $14.45 | Professional | None | $12.59 | $12.88 | $14.45 |
United Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $61.66 | Professional | None | $44.67 | $52.48 | $61.66 |
Where Pennsylvania sits
The same service costs 6.6 times more in Alaska than in Hawaii. 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
$52.48
AK $72.44HI $10.96
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.