How much rates vary
Facilitymedian $35 · 10th to 90th $32 to $117Professionalmedian $32 · 10th to 90th $32 to $34
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 $32.36 Median $48.98 Typical High $85.11 | Facility | None | $32.36 | $48.98 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $33.11 | Professional | None | $32.36 | $32.36 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $16.22 Typical High $16.60 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.61 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | 55 · Aftercare only | $4.90 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.31 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $3.31 |
Capital Blue Cross Setting Facility Modifier None Typical Low $31.62 Median $35.48 Typical High $41.69 | Facility | None | $31.62 | $35.48 | $41.69 |
Capital Blue Cross Setting Professional Modifier None Typical Low $30.20 Median $33.88 Typical High $33.88 | Professional | None | $30.20 | $33.88 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $54.95 Typical High $123.03 | Facility | None | $32.36 | $54.95 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Emblem Health Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $46.77 | Professional | None | $31.62 | $31.62 | $46.77 |
Geisinger Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Geisinger Setting Professional Modifier None Typical Low $31.62 Median $35.48 Typical High $60.26 | Professional | None | $31.62 | $35.48 | $60.26 |
Highmark BCBS Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Martin's Point Setting Facility Modifier None Typical Low $32.36 Median $48.98 Typical High $85.11 | Facility | None | $32.36 | $48.98 | $85.11 |
Martin's Point Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $33.11 | Professional | None | $32.36 | $32.36 | $33.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $16.22 Typical High $16.60 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.60 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.61 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.61 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | 55 · Aftercare only | $4.90 | $4.90 | $4.90 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.31 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $3.31 |
Oscar Health Setting Professional Modifier None Typical Low $0.60 Median $30.20 Typical High $70.79 | Professional | None | $0.60 | $30.20 | $70.79 |
United Setting Professional Modifier None Typical Low $29.51 Median $32.36 Typical High $33.88 | Professional | None | $29.51 | $32.36 | $33.88 |
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· 28th of 51
$32.36
AK $41.69ND $32.36
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.