How much rates vary
Facilitymedian $182 · 10th to 90th $30 to $69,183Professionalmedian $30 · 10th to 90th $30 to $126
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 $30.20 Median $46.77 Typical High $181.97 | Facility | None | $30.20 | $46.77 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $14.79 Typical High $15.14 | Professional | 52 · Reduced service | $14.79 | $14.79 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.47 Typical High $4.57 | Professional | 55 · Aftercare only | $4.47 | $4.47 | $4.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | 56 · Pre-op care only | $3.02 | $3.02 | $3.02 |
AmeriHealth Setting Facility Modifier None Typical Low $34,673.69 Median $83,176.38 Typical High $131,825.67 | Facility | None | $34,673.69 | $83,176.38 | $131,825.67 |
Capital Blue Cross Setting Facility Modifier None Typical Low $26.30 Median $30.20 Typical High $35.48 | Facility | None | $26.30 | $30.20 | $35.48 |
Capital Blue Cross Setting Professional Modifier None Typical Low $26.92 Median $30.20 Typical High $30.20 | Professional | None | $26.92 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $181.97 Typical High $478.63 | Facility | None | $125.89 | $181.97 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $131.83 | Professional | None | $125.89 | $125.89 | $131.83 |
Emblem Health Setting Professional Modifier None Typical Low $25.70 Median $30.20 Typical High $218.78 | Professional | None | $25.70 | $30.20 | $218.78 |
Geisinger Setting Professional Modifier None Typical Low $44.67 Median $141.25 Typical High $177.83 | Professional | None | $44.67 | $141.25 | $177.83 |
Highmark BCBS Setting Facility Modifier None Typical Low $47.86 Median $69.18 Typical High $5,128.61 | Facility | None | $47.86 | $69.18 | $5,128.61 |
Independence Blue Cross Setting Facility Modifier None Typical Low $128.82 Median $45,708.82 Typical High $123,026.88 | Facility | None | $128.82 | $45,708.82 | $123,026.88 |
Martin's Point Setting Facility Modifier None Typical Low $30.20 Median $46.77 Typical High $181.97 | Facility | None | $30.20 | $46.77 | $181.97 |
Martin's Point Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $14.79 Typical High $15.14 | Professional | 52 · Reduced service | $14.79 | $14.79 | $15.14 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.03 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.47 Typical High $4.57 | Professional | 55 · Aftercare only | $4.47 | $4.47 | $4.57 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | 56 · Pre-op care only | $3.02 | $3.02 | $3.02 |
Oscar Health Setting Professional Modifier None Typical Low $31.62 Median $37.15 Typical High $46.77 | Professional | None | $31.62 | $37.15 | $46.77 |
UPMC Health Plan Setting Facility Modifier None Typical Low $30.90 Median $194.98 Typical High $309.03 | Facility | None | $30.90 | $194.98 | $309.03 |
UPMC Health Plan Setting Professional Modifier None Typical Low $30.90 Median $35.48 Typical High $35.48 | Professional | None | $30.90 | $35.48 | $35.48 |
United Setting Professional Modifier None Typical Low $114.82 Median $125.89 Typical High $134.90 | Professional | None | $114.82 | $125.89 | $134.90 |
Where Pennsylvania sits
The same service costs 4.2 times more in Wyoming than in Pennsylvania. 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· 51st of 51
$30.20
WY $126PA $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.