How much rates vary
Facilitymedian $89 · 10th to 90th $76 to $209Professionalmedian $78 · 10th to 90th $72 to $79
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 $75.86 Median $112.20 Typical High $199.53 | Facility | None | $75.86 | $112.20 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $77.62 | Professional | None | $75.86 | $75.86 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $38.02 Typical High $38.90 | Professional | 52 · Reduced service | $38.02 | $38.02 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.49 | Professional | 53 · Discontinued | $15.14 | $15.14 | $15.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 54 · Surgery only | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 55 · Aftercare only | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $7.76 | Professional | 56 · Pre-op care only | $7.59 | $7.59 | $7.76 |
Ambetter Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Capital Blue Cross Setting Facility Modifier None Typical Low $72.44 Median $83.18 Typical High $97.72 | Facility | None | $72.44 | $83.18 | $97.72 |
Capital Blue Cross Setting Professional Modifier None Typical Low $72.44 Median $79.43 Typical High $79.43 | Professional | None | $72.44 | $79.43 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $128.82 Typical High $295.12 | Facility | None | $75.86 | $128.82 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Emblem Health Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $109.65 | Professional | None | $75.86 | $75.86 | $109.65 |
Geisinger Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Geisinger Setting Professional Modifier None Typical Low $53.70 Median $79.43 Typical High $128.82 | Professional | None | $53.70 | $79.43 | $128.82 |
Highmark BCBS Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $204.17 | Facility | None | $199.53 | $199.53 | $204.17 |
Highmark BCBS Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $85.11 | Professional | None | $77.62 | $77.62 | $85.11 |
Martin's Point Setting Facility Modifier None Typical Low $75.86 Median $114.82 Typical High $199.53 | Facility | None | $75.86 | $114.82 | $199.53 |
Martin's Point Setting Professional Modifier None Typical Low $75.86 Median $77.62 Typical High $77.62 | Professional | None | $75.86 | $77.62 | $77.62 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $38.02 Typical High $38.90 | Professional | 52 · Reduced service | $38.02 | $38.02 | $38.90 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.49 | Professional | 53 · Discontinued | $15.14 | $15.14 | $15.49 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 54 · Surgery only | $57.54 | $57.54 | $57.54 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 55 · Aftercare only | $11.48 | $11.48 | $11.48 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $7.76 | Professional | 56 · Pre-op care only | $7.59 | $7.59 | $7.76 |
Oscar Health Setting Professional Modifier None Typical Low $0.60 Median $30.20 Typical High $144.54 | Professional | None | $0.60 | $30.20 | $144.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $67.61 Median $89.13 Typical High $93.33 | Facility | None | $67.61 | $89.13 | $93.33 |
UPMC Health Plan Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $77.62 | Professional | None | $67.61 | $67.61 | $77.62 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $85.11 | Professional | None | $70.79 | $79.43 | $85.11 |
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· 19th of 51
$77.62
AK $93.33NJ $75.86
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.