How much rates vary
Facilitymedian $692 · 10th to 90th $182 to $5,012Professionalmedian $166 · 10th to 90th $117 to $263
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 $117.49 Median $123.03 Typical High $177.83 | Facility | None | $117.49 | $123.03 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $123.03 Typical High $128.82 | Professional | None | $114.82 | $123.03 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $18.20 Typical High $19.05 | Professional | 55 · Aftercare only | $17.38 | $18.20 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $12.02 Typical High $12.88 | Professional | 56 · Pre-op care only | $11.48 | $12.02 | $12.88 |
AmeriHealth Setting Facility Modifier None Typical Low $30,902.95 Median $48,977.88 Typical High $83,176.38 | Facility | None | $30,902.95 | $48,977.88 | $83,176.38 |
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 $208.93 Median $263.03 Typical High $263.03 | Professional | None | $208.93 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $1,202.26 | Professional | None | $165.96 | $165.96 | $1,202.26 |
Emblem Health Setting Professional Modifier None Typical Low $239.88 Median $380.19 Typical High $446.68 | Professional | None | $239.88 | $380.19 | $446.68 |
Geisinger Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Geisinger Setting Professional Modifier None Typical Low $138.04 Median $158.49 Typical High $269.15 | Professional | None | $138.04 | $158.49 | $269.15 |
Highmark BCBS Setting Facility Modifier None Typical Low $812.83 Median $1,445.44 Typical High $2,818.38 | Facility | None | $812.83 | $1,445.44 | $2,818.38 |
Independence Blue Cross Setting Facility Modifier None Typical Low $30,902.95 Median $38,904.51 Typical High $83,176.38 | Facility | None | $30,902.95 | $38,904.51 | $83,176.38 |
Martin's Point Setting Facility Modifier None Typical Low $117.49 Median $123.03 Typical High $177.83 | Facility | None | $117.49 | $123.03 | $177.83 |
Martin's Point Setting Professional Modifier None Typical Low $117.49 Median $123.03 Typical High $128.82 | Professional | None | $117.49 | $123.03 | $128.82 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $18.62 Typical High $19.05 | Professional | 55 · Aftercare only | $17.38 | $18.62 | $19.05 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $12.30 Typical High $12.88 | Professional | 56 · Pre-op care only | $11.75 | $12.30 | $12.88 |
Oscar Health Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $371.54 | Professional | None | $87.10 | $87.10 | $371.54 |
UPMC Health Plan Setting Facility Modifier None Typical Low $181.97 Median $1,047.13 Typical High $2,187.76 | Facility | None | $181.97 | $1,047.13 | $2,187.76 |
UPMC Health Plan Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $251.19 | Professional | None | $181.97 | $181.97 | $251.19 |
United Setting Professional Modifier None Typical Low $117.49 Median $131.83 Typical High $204.17 | Professional | None | $117.49 | $131.83 | $204.17 |
Where Pennsylvania sits
The same service costs 2.6 times more in Montana than in New York. 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· 20th of 51
$182
MT $275NY $107
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.