How much rates vary
Facilitymedian $52 · 10th to 90th $52 to $112Professionalmedian $46 · 10th to 90th $27 to $66
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 $26.92 Median $26.92 Typical High $30.20 | Facility | None | $26.92 | $26.92 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $30.20 Typical High $32.36 | Professional | None | $26.92 | $30.20 | $32.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $15.14 Typical High $15.85 | Professional | 52 · Reduced service | $13.49 | $15.14 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.03 Typical High $6.31 | Professional | 53 · Discontinued | $5.37 | $6.03 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.07 Median $4.47 Typical High $4.79 | Professional | 55 · Aftercare only | $4.07 | $4.47 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.69 Median $3.02 Typical High $3.16 | Professional | 56 · Pre-op care only | $2.69 | $3.02 | $3.16 |
Ambetter Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
AmeriHealth Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $51.29 | Professional | None | $46.77 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $269.15 | Professional | None | $44.67 | $44.67 | $269.15 |
Emblem Health Setting Professional Modifier None Typical Low $48.98 Median $77.62 Typical High $89.13 | Professional | None | $48.98 | $77.62 | $89.13 |
Geisinger Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Geisinger Setting Professional Modifier None Typical Low $31.62 Median $37.15 Typical High $53.70 | Professional | None | $31.62 | $37.15 | $53.70 |
Highmark BCBS Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $48.98 | Professional | None | $42.66 | $42.66 | $48.98 |
Independence Blue Cross Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Martin's Point Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Martin's Point Setting Professional Modifier None Typical Low $26.92 Median $30.20 Typical High $31.62 | Professional | None | $26.92 | $30.20 | $31.62 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $15.14 Typical High $15.85 | Professional | 52 · Reduced service | $13.49 | $15.14 | $15.85 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.03 Typical High $6.31 | Professional | 53 · Discontinued | $5.37 | $6.03 | $6.31 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $4.07 Median $4.47 Typical High $4.79 | Professional | 55 · Aftercare only | $4.07 | $4.47 | $4.79 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.69 Median $3.02 Typical High $3.16 | Professional | 56 · Pre-op care only | $2.69 | $3.02 | $3.16 |
Oscar Health Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $53.70 | Professional | None | $36.31 | $36.31 | $53.70 |
UPMC Health Plan Setting Facility Modifier None Typical Low $58.88 Median $66.07 Typical High $66.07 | Facility | None | $58.88 | $66.07 | $66.07 |
UPMC Health Plan Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $66.07 | Professional | None | $58.88 | $66.07 | $66.07 |
United Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $112.20 | Facility | None | $93.33 | $93.33 | $112.20 |
United Setting Professional Modifier None Typical Low $33.11 Median $45.71 Typical High $72.44 | Professional | None | $33.11 | $45.71 | $72.44 |
Where Pennsylvania sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 39th of 51
$45.71
HI $93.33UT $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.