How much rates vary
Facilitymedian $72 · 10th to 90th $60 to $155Professionalmedian $66 · 10th to 90th $43 to $102
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 $42.66 Median $42.66 Typical High $77.62 | Facility | None | $42.66 | $42.66 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $69.18 | Professional | None | $42.66 | $46.77 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $23.44 Typical High $25.12 | Professional | 52 · Reduced service | $21.38 | $23.44 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $9.33 Typical High $10.00 | Professional | 53 · Discontinued | $8.51 | $9.33 | $10.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $7.08 Typical High $7.41 | Professional | 55 · Aftercare only | $6.31 | $7.08 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.68 Typical High $5.01 | Professional | 56 · Pre-op care only | $4.27 | $4.68 | $5.01 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $83.18 | Professional | None | $79.43 | $79.43 | $83.18 |
AmeriHealth Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
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 $83.18 Median $102.33 Typical High $102.33 | Professional | None | $83.18 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $61.66 Typical High $64.57 | Facility | None | $60.26 | $61.66 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $501.19 | Professional | None | $44.67 | $44.67 | $501.19 |
Emblem Health Setting Professional Modifier None Typical Low $89.13 Median $141.25 Typical High $165.96 | Professional | None | $89.13 | $141.25 | $165.96 |
Geisinger Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Geisinger Setting Professional Modifier None Typical Low $63.10 Median $66.07 Typical High $104.71 | Professional | None | $63.10 | $66.07 | $104.71 |
Highmark BCBS Setting Facility Modifier None Typical Low $54.95 Median $64.57 Typical High $213.80 | Facility | None | $54.95 | $64.57 | $213.80 |
Highmark BCBS Setting Professional Modifier None Typical Low $72.44 Median $83.18 Typical High $95.50 | Professional | None | $72.44 | $83.18 | $95.50 |
Independence Blue Cross Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $79.43 | Professional | None | $77.62 | $77.62 | $79.43 |
Martin's Point Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $77.62 | Facility | None | $42.66 | $42.66 | $77.62 |
Martin's Point Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $66.07 | Professional | None | $42.66 | $46.77 | $66.07 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $23.44 Typical High $25.12 | Professional | 52 · Reduced service | $21.38 | $23.44 | $25.12 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $9.33 Typical High $10.00 | Professional | 53 · Discontinued | $8.51 | $9.33 | $10.00 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $7.08 Typical High $7.41 | Professional | 55 · Aftercare only | $6.31 | $7.08 | $7.41 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.68 Typical High $5.01 | Professional | 56 · Pre-op care only | $4.27 | $4.68 | $5.01 |
Oscar Health Setting Professional Modifier None Typical Low $37.15 Median $38.02 Typical High $100.00 | Professional | None | $37.15 | $38.02 | $100.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $97.72 | Facility | None | $75.86 | $75.86 | $97.72 |
UPMC Health Plan Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $97.72 | Professional | None | $75.86 | $75.86 | $97.72 |
United Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $154.88 | Facility | None | $72.44 | $72.44 | $154.88 |
United Setting Professional Modifier None Typical Low $40.74 Median $51.29 Typical High $81.28 | Professional | None | $40.74 | $51.29 | $81.28 |
Where Pennsylvania sits
The same service costs 2.1 times more in Wisconsin than in New Jersey. 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· 29th of 51
$66.07
WI $100NJ $47.86
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.