How much rates vary
Facilitymedian $66 · 10th to 90th $56 to $204Professionalmedian $56 · 10th to 90th $52 to $59
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 $56.23 Median $81.28 Typical High $141.25 | Facility | None | $56.23 | $81.28 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $57.54 | Professional | None | $56.23 | $56.23 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $11.48 | Professional | 53 · Discontinued | $11.22 | $11.22 | $11.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | 55 · Aftercare only | $8.51 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $5.62 Typical High $5.75 | Professional | 56 · Pre-op care only | $5.62 | $5.62 | $5.75 |
Capital Blue Cross Setting Facility Modifier None Typical Low $53.70 Median $61.66 Typical High $72.44 | Facility | None | $53.70 | $61.66 | $72.44 |
Capital Blue Cross Setting Professional Modifier None Typical Low $52.48 Median $58.88 Typical High $58.88 | Professional | None | $52.48 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $93.33 Typical High $213.80 | Facility | None | $56.23 | $93.33 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
Emblem Health Setting Professional Modifier None Typical Low $58.88 Median $61.66 Typical High $81.28 | Professional | None | $58.88 | $61.66 | $81.28 |
Geisinger Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Geisinger Setting Professional Modifier None Typical Low $56.23 Median $70.79 Typical High $104.71 | Professional | None | $56.23 | $70.79 | $104.71 |
Martin's Point Setting Facility Modifier None Typical Low $56.23 Median $102.33 Typical High $141.25 | Facility | None | $56.23 | $102.33 | $141.25 |
Martin's Point Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $57.54 | Professional | None | $56.23 | $56.23 | $57.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $28.18 | $28.18 | $28.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $11.48 | Professional | 53 · Discontinued | $11.22 | $11.22 | $11.48 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | 55 · Aftercare only | $8.51 | $8.51 | $8.51 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $5.62 Typical High $5.75 | Professional | 56 · Pre-op care only | $5.62 | $5.62 | $5.75 |
Oscar Health Setting Professional Modifier None Typical Low $0.60 Median $30.20 Typical High $97.72 | Professional | None | $0.60 | $30.20 | $97.72 |
UPMC Health Plan Setting Facility Modifier None Typical Low $44.67 Median $66.07 Typical High $69.18 | Facility | None | $44.67 | $66.07 | $69.18 |
UPMC Health Plan Setting Professional Modifier None Typical Low $44.67 Median $45.71 Typical High $52.48 | Professional | None | $44.67 | $45.71 | $52.48 |
United Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
United Setting Professional Modifier None Typical Low $48.98 Median $56.23 Typical High $60.26 | Professional | None | $48.98 | $56.23 | $60.26 |
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· 40th of 51
$56.23
AK $69.18AL $56.23
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.