How much rates vary
Facilitymedian $39 · 10th to 90th $23 to $380Professionalmedian $31 · 10th to 90th $19 to $44
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 $19.50 Median $19.50 Typical High $263.03 | Facility | None | $19.50 | $19.50 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $20.89 Typical High $22.39 | Professional | None | $19.05 | $20.89 | $22.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $10.47 Typical High $10.72 | Professional | 52 · Reduced service | $9.55 | $10.47 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.17 Typical High $4.27 | Professional | 53 · Discontinued | $3.80 | $4.17 | $4.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.88 Median $3.09 Typical High $3.24 | Professional | 55 · Aftercare only | $2.88 | $3.09 | $3.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $2.04 Typical High $2.14 | Professional | 56 · Pre-op care only | $1.91 | $2.04 | $2.14 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
AmeriHealth Setting Facility Modifier None Typical Low $47.86 Median $1,023.29 Typical High $2,691.53 | Facility | None | $47.86 | $1,023.29 | $2,691.53 |
AmeriHealth Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
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 $34.67 Median $43.65 Typical High $43.65 | Professional | None | $34.67 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $34.67 Typical High $37.15 | Facility | None | $30.20 | $34.67 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $239.88 | Professional | None | $25.70 | $25.70 | $239.88 |
Emblem Health Setting Professional Modifier None Typical Low $41.69 Median $64.57 Typical High $75.86 | Professional | None | $41.69 | $64.57 | $75.86 |
Geisinger Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Geisinger Setting Professional Modifier None Typical Low $23.99 Median $26.92 Typical High $44.67 | Professional | None | $23.99 | $26.92 | $44.67 |
Highmark BCBS Setting Facility Modifier None Typical Low $114.82 Median $144.54 Typical High $186.21 | Facility | None | $114.82 | $144.54 | $186.21 |
Highmark BCBS Setting Professional Modifier None Typical Low $30.90 Median $33.11 Typical High $35.48 | Professional | None | $30.90 | $33.11 | $35.48 |
Independence Blue Cross Setting Facility Modifier None Typical Low $44.67 Median $64.57 Typical High $794.33 | Facility | None | $44.67 | $64.57 | $794.33 |
Independence Blue Cross Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Martin's Point Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $263.03 | Facility | None | $19.50 | $19.50 | $263.03 |
Martin's Point Setting Professional Modifier None Typical Low $19.05 Median $20.89 Typical High $21.38 | Professional | None | $19.05 | $20.89 | $21.38 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $10.47 Typical High $10.72 | Professional | 52 · Reduced service | $9.77 | $10.47 | $10.72 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.17 Typical High $4.27 | Professional | 53 · Discontinued | $3.89 | $4.17 | $4.27 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2.95 Median $3.09 Typical High $3.24 | Professional | 55 · Aftercare only | $2.95 | $3.09 | $3.24 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.95 Median $2.04 Typical High $2.14 | Professional | 56 · Pre-op care only | $1.95 | $2.04 | $2.14 |
Oscar Health Setting Professional Modifier None Typical Low $27.54 Median $45.71 Typical High $67.61 | Professional | None | $27.54 | $45.71 | $67.61 |
UPMC Health Plan Setting Facility Modifier None Typical Low $33.11 Median $141.25 Typical High $245.47 | Facility | None | $33.11 | $141.25 | $245.47 |
UPMC Health Plan Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $41.69 | Professional | None | $33.11 | $33.11 | $41.69 |
United Setting Facility Modifier None Typical Low $16.22 Median $31.62 Typical High $60.26 | Facility | None | $16.22 | $31.62 | $60.26 |
United Setting Professional Modifier None Typical Low $19.95 Median $21.88 Typical High $38.90 | Professional | None | $19.95 | $21.88 | $38.90 |
Where Pennsylvania sits
The same service costs 3.2 times more in Hawaii than in Washington, DC. 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· 24th of 51
$33.11
HI $77.62DC $24.55
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.