How much rates vary
Facilitymedian $151 · 10th to 90th $76 to $2,399Professionalmedian $54 · 10th to 90th $51 to $166
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 $114.82 Median $114.82 Typical High $302.00 | Facility | None | $114.82 | $114.82 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 55 · Aftercare only | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 56 · Pre-op care only | $11.48 | $11.48 | $11.48 |
AmeriHealth Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $1,995.26 | Facility | None | $75.86 | $75.86 | $1,995.26 |
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 $47.86 Median $51.29 Typical High $53.70 | Professional | None | $47.86 | $51.29 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Highmark BCBS Setting Facility Modifier None Typical Low $120.23 Median $141.25 Typical High $398.11 | Facility | None | $120.23 | $141.25 | $398.11 |
Independence Blue Cross Setting Facility Modifier None Typical Low $75.86 Median $93.33 Typical High $2,398.83 | Facility | None | $75.86 | $93.33 | $2,398.83 |
Martin's Point Setting Facility Modifier None Typical Low $114.82 Median $302.00 Typical High $302.00 | Facility | None | $114.82 | $302.00 | $302.00 |
Martin's Point Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $57.54 | $57.54 | $57.54 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $22.91 | $22.91 | $22.91 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 55 · Aftercare only | $17.38 | $17.38 | $17.38 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 56 · Pre-op care only | $11.48 | $11.48 | $11.48 |
UPMC Health Plan Setting Facility Modifier None Typical Low $162.18 Median $223.87 Typical High $363.08 | Facility | None | $162.18 | $223.87 | $363.08 |
United Setting Facility Modifier None Typical Low $100.00 Median $213.80 Typical High $245.47 | Facility | None | $100.00 | $213.80 | $245.47 |
Where Pennsylvania sits
The same service costs 6.8 times more in North Carolina than in Kentucky. 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· 47th of 51
$53.70
NC $204KY $30.20
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.