How much rates vary
Facilitymedian $43 · 10th to 90th $36 to $132Professionalmedian $37 · 10th to 90th $35 to $39
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 $36.31 Median $63.10 Typical High $97.72 | Facility | None | $36.31 | $63.10 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $37.15 | Professional | None | $36.31 | $36.31 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $7.41 | Professional | 53 · Discontinued | $7.24 | $7.24 | $7.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | 55 · Aftercare only | $5.50 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $3.63 Typical High $3.72 | Professional | 56 · Pre-op care only | $3.63 | $3.63 | $3.72 |
Ambetter Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Capital Blue Cross Setting Facility Modifier None Typical Low $34.67 Median $39.81 Typical High $46.77 | Facility | None | $34.67 | $39.81 | $46.77 |
Capital Blue Cross Setting Professional Modifier None Typical Low $33.88 Median $38.02 Typical High $38.02 | Professional | None | $33.88 | $38.02 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $60.26 Typical High $138.04 | Facility | None | $36.31 | $60.26 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Emblem Health Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $56.23 | Professional | None | $38.02 | $38.02 | $56.23 |
Geisinger Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Geisinger Setting Professional Modifier None Typical Low $36.31 Median $46.77 Typical High $72.44 | Professional | None | $36.31 | $46.77 | $72.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Martin's Point Setting Facility Modifier None Typical Low $36.31 Median $83.18 Typical High $97.72 | Facility | None | $36.31 | $83.18 | $97.72 |
Martin's Point Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $37.15 | Professional | None | $36.31 | $36.31 | $37.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $18.20 | $18.20 | $18.20 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $7.41 | Professional | 53 · Discontinued | $7.24 | $7.24 | $7.41 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | 55 · Aftercare only | $5.50 | $5.50 | $5.50 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $3.63 Typical High $3.72 | Professional | 56 · Pre-op care only | $3.63 | $3.63 | $3.72 |
Oscar Health Setting Professional Modifier None Typical Low $0.60 Median $30.20 Typical High $85.11 | Professional | None | $0.60 | $30.20 | $85.11 |
UPMC Health Plan Setting Facility Modifier None Typical Low $37.15 Median $42.66 Typical High $44.67 | Facility | None | $37.15 | $42.66 | $44.67 |
UPMC Health Plan Setting Professional Modifier None Typical Low $37.15 Median $38.02 Typical High $42.66 | Professional | None | $37.15 | $38.02 | $42.66 |
United Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $34.67 Median $38.02 Typical High $45.71 | Professional | None | $34.67 | $38.02 | $45.71 |
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· 22nd of 51
$37.15
AK $50.12GA $36.31
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.