How much rates vary
Facilitymedian $166 · 10th to 90th $145 to $363Professionalmedian $145 · 10th to 90th $132 to $148
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 $128.82 Median $186.21 Typical High $363.08 | Facility | None | $128.82 | $186.21 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $21.38 Typical High $21.88 | Professional | 55 · Aftercare only | $21.38 | $21.38 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 56 · Pre-op care only | $14.45 | $14.45 | $14.45 |
Ambetter Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Capital Blue Cross Setting Facility Modifier None Typical Low $134.90 Median $154.88 Typical High $186.21 | Facility | None | $134.90 | $154.88 | $186.21 |
Capital Blue Cross Setting Professional Modifier None Typical Low $134.90 Median $147.91 Typical High $147.91 | Professional | None | $134.90 | $147.91 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $239.88 Typical High $549.54 | Facility | None | $144.54 | $239.88 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Emblem Health Setting Professional Modifier None Typical Low $147.91 Median $154.88 Typical High $208.93 | Professional | None | $147.91 | $154.88 | $208.93 |
Geisinger Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Geisinger Setting Professional Modifier None Typical Low $112.20 Median $151.36 Typical High $251.19 | Professional | None | $112.20 | $151.36 | $251.19 |
Highmark BCBS Setting Facility Modifier None Typical Low $85.11 Median $102.33 Typical High $245.47 | Facility | None | $85.11 | $102.33 | $245.47 |
Highmark BCBS Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $154.88 | Professional | None | $144.54 | $144.54 | $154.88 |
Martin's Point Setting Facility Modifier None Typical Low $144.54 Median $190.55 Typical High $363.08 | Facility | None | $144.54 | $190.55 | $363.08 |
Martin's Point Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $72.44 | $72.44 | $72.44 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $21.38 Typical High $21.88 | Professional | 55 · Aftercare only | $21.38 | $21.38 | $21.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 56 · Pre-op care only | $14.45 | $14.45 | $14.45 |
Oscar Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $257.04 | Professional | None | $30.20 | $30.20 | $257.04 |
UPMC Health Plan Setting Facility Modifier None Typical Low $117.49 Median $165.96 Typical High $177.83 | Facility | None | $117.49 | $165.96 | $177.83 |
UPMC Health Plan Setting Professional Modifier None Typical Low $117.49 Median $120.23 Typical High $138.04 | Professional | None | $117.49 | $120.23 | $138.04 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $125.89 Median $144.54 Typical High $154.88 | Professional | None | $125.89 | $144.54 | $154.88 |
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· 18th of 51
$145
AK $178TN $145
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.