How much rates vary
Facilitymedian $40 · 10th to 90th $28 to $129Professionalmedian $35 · 10th to 90th $28 to $37
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 $33.88 Median $69.18 Typical High $275.42 | Facility | None | $33.88 | $69.18 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $34.67 Typical High $35.48 | Professional | None | $33.88 | $34.67 | $35.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $16.98 Typical High $17.38 | Professional | 52 · Reduced service | $16.98 | $16.98 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $6.92 | Professional | 53 · Discontinued | $6.76 | $6.76 | $6.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 55 · Aftercare only | $5.13 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.39 Typical High $3.47 | Professional | 56 · Pre-op care only | $3.39 | $3.39 | $3.47 |
AmeriHealth Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $33.11 | Facility | None | $28.18 | $28.18 | $33.11 |
Capital Blue Cross Setting Facility Modifier None Typical Low $32.36 Median $37.15 Typical High $43.65 | Facility | None | $32.36 | $37.15 | $43.65 |
Capital Blue Cross Setting Professional Modifier None Typical Low $31.62 Median $35.48 Typical High $35.48 | Professional | None | $31.62 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $57.54 Typical High $131.83 | Facility | None | $33.88 | $57.54 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Emblem Health Setting Professional Modifier None Typical Low $35.48 Median $37.15 Typical High $245.47 | Professional | None | $35.48 | $37.15 | $245.47 |
Geisinger Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Geisinger Setting Professional Modifier None Typical Low $17.38 Median $36.31 Typical High $72.44 | Professional | None | $17.38 | $36.31 | $72.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $56.23 Median $81.28 Typical High $169.82 | Facility | None | $56.23 | $81.28 | $169.82 |
Highmark BCBS Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Independence Blue Cross Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $33.11 | Facility | None | $28.18 | $28.18 | $33.11 |
Martin's Point Setting Facility Modifier None Typical Low $33.88 Median $52.48 Typical High $147.91 | Facility | None | $33.88 | $52.48 | $147.91 |
Martin's Point Setting Professional Modifier None Typical Low $33.88 Median $34.67 Typical High $34.67 | Professional | None | $33.88 | $34.67 | $34.67 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $16.98 Typical High $17.38 | Professional | 52 · Reduced service | $16.98 | $16.98 | $17.38 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $6.92 | Professional | 53 · Discontinued | $6.76 | $6.76 | $6.92 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 55 · Aftercare only | $5.13 | $5.13 | $5.13 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.39 Typical High $3.47 | Professional | 56 · Pre-op care only | $3.39 | $3.39 | $3.47 |
Oscar Health Setting Professional Modifier None Typical Low $33.11 Median $33.88 Typical High $44.67 | Professional | None | $33.11 | $33.88 | $44.67 |
UPMC Health Plan Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $51.29 | Facility | None | $39.81 | $39.81 | $51.29 |
UPMC Health Plan Setting Professional Modifier None Typical Low $44.67 Median $45.71 Typical High $51.29 | Professional | None | $44.67 | $45.71 | $51.29 |
United Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
United Setting Professional Modifier None Typical Low $26.92 Median $30.20 Typical High $36.31 | Professional | None | $26.92 | $30.20 | $36.31 |
Where Pennsylvania sits
The same service costs 5.4 times more in Wyoming than in Arizona. 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· 6th of 51
$34.67
WY $162AZ $30.20
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.