How much rates vary
Facilitymedian $107 · 10th to 90th $100 to $851Professionalmedian $93 · 10th to 90th $68 to $151
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 $67.61 Median $67.61 Typical High $70.79 | Facility | None | $67.61 | $67.61 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $67.61 Typical High $74.13 | Professional | None | $66.07 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.47 Typical High $11.22 | Professional | 55 · Aftercare only | $10.00 | $10.47 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.92 Typical High $7.41 | Professional | 56 · Pre-op care only | $6.61 | $6.92 | $7.41 |
Ambetter Setting Professional Modifier None Typical Low $117.49 Median $131.83 Typical High $131.83 | Professional | None | $117.49 | $131.83 | $131.83 |
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 $120.23 Median $151.36 Typical High $151.36 | Professional | None | $120.23 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $758.58 | Professional | None | $72.44 | $72.44 | $758.58 |
Emblem Health Setting Professional Modifier None Typical Low $141.25 Median $223.87 Typical High $257.04 | Professional | None | $141.25 | $223.87 | $257.04 |
Geisinger Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Geisinger Setting Professional Modifier None Typical Low $72.44 Median $93.33 Typical High $154.88 | Professional | None | $72.44 | $93.33 | $154.88 |
Highmark BCBS Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $123.03 | Professional | None | $104.71 | $123.03 | $123.03 |
Martin's Point Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Martin's Point Setting Professional Modifier None Typical Low $66.07 Median $70.79 Typical High $74.13 | Professional | None | $66.07 | $70.79 | $74.13 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.72 Typical High $11.22 | Professional | 55 · Aftercare only | $10.00 | $10.72 | $11.22 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $7.08 Typical High $7.41 | Professional | 56 · Pre-op care only | $6.61 | $7.08 | $7.41 |
Oscar Health Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $213.80 | Professional | None | $50.12 | $50.12 | $213.80 |
UPMC Health Plan Setting Facility Modifier None Typical Low $107.15 Median $489.78 Typical High $851.14 | Facility | None | $107.15 | $489.78 | $851.14 |
UPMC Health Plan Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $144.54 | Professional | None | $107.15 | $107.15 | $144.54 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $223.87 | Facility | None | $186.21 | $186.21 | $223.87 |
United Setting Professional Modifier None Typical Low $67.61 Median $75.86 Typical High $117.49 | Professional | None | $67.61 | $75.86 | $117.49 |
Where Pennsylvania sits
The same service costs 2.2 times more in Montana than in Florida. 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· 25th of 51
$100
MT $158FL $72.44
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.