How much rates vary
Facilitymedian $16 · 10th to 90th $13 to $126Professionalmedian $12 · 10th to 90th $11 to $23
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 $10.96 Median $10.96 Typical High $11.75 | Facility | None | $10.96 | $10.96 | $11.75 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $11.75 Typical High $12.02 | Professional | None | $10.72 | $11.75 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $5.75 Typical High $6.03 | Professional | 52 · Reduced service | $5.37 | $5.75 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.34 Typical High $2.40 | Professional | 53 · Discontinued | $2.14 | $2.34 | $2.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.62 Median $1.74 Typical High $1.82 | Professional | 55 · Aftercare only | $1.62 | $1.74 | $1.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.15 Typical High $1.20 | Professional | 56 · Pre-op care only | $1.07 | $1.15 | $1.20 |
Ambetter Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $21.38 | Professional | None | $18.62 | $18.62 | $21.38 |
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 $18.62 Median $18.62 Typical High $19.95 | Professional | None | $18.62 | $18.62 | $19.95 |
Capital Blue Cross Setting Professional Modifier 50 · Both sides Typical Low $22.39 Median $24.55 Typical High $24.55 | Professional | 50 · Both sides | $22.39 | $24.55 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $131.83 | Professional | None | $12.02 | $12.02 | $131.83 |
Emblem Health Setting Professional Modifier None Typical Low $25.12 Median $39.81 Typical High $46.77 | Professional | None | $25.12 | $39.81 | $46.77 |
Geisinger Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Geisinger Setting Professional Modifier None Typical Low $12.88 Median $15.14 Typical High $25.12 | Professional | None | $12.88 | $15.14 | $25.12 |
Highmark BCBS Setting Professional Modifier None Typical Low $17.38 Median $18.62 Typical High $25.12 | Professional | None | $17.38 | $18.62 | $25.12 |
Martin's Point Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
Martin's Point Setting Professional Modifier None Typical Low $10.72 Median $11.75 Typical High $12.02 | Professional | None | $10.72 | $11.75 | $12.02 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $5.50 Median $5.75 Typical High $6.03 | Professional | 52 · Reduced service | $5.50 | $5.75 | $6.03 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.34 Typical High $2.40 | Professional | 53 · Discontinued | $2.19 | $2.34 | $2.40 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.66 Median $1.74 Typical High $1.82 | Professional | 55 · Aftercare only | $1.66 | $1.74 | $1.82 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.10 Median $1.15 Typical High $1.20 | Professional | 56 · Pre-op care only | $1.10 | $1.15 | $1.20 |
Oscar Health Setting Professional Modifier None Typical Low $10.72 Median $27.54 Typical High $38.90 | Professional | None | $10.72 | $27.54 | $38.90 |
UPMC Health Plan Setting Facility Modifier None Typical Low $16.98 Median $77.62 Typical High $131.83 | Facility | None | $16.98 | $77.62 | $131.83 |
UPMC Health Plan Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $23.44 | Professional | None | $16.98 | $16.98 | $23.44 |
United Setting Facility Modifier None Typical Low $12.88 Median $15.49 Typical High $38.02 | Facility | None | $12.88 | $15.49 | $38.02 |
United Setting Professional Modifier None Typical Low $10.96 Median $12.30 Typical High $20.42 | Professional | None | $10.96 | $12.30 | $20.42 |
Where Pennsylvania sits
The same service costs 3.0 times more in Hawaii than in Delaware. 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· 49th of 51
$12.30
HI $35.48DE $12.02
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.