How much rates vary
Facilitymedian $174 · 10th to 90th $148 to $490Professionalmedian $151 · 10th to 90th $138 to $155
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 $147.91 Median $229.09 Typical High $426.58 | Facility | None | $147.91 | $229.09 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $151.36 Typical High $154.88 | Professional | None | $147.91 | $151.36 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $74.13 Typical High $75.86 | Professional | 52 · Reduced service | $74.13 | $74.13 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $30.20 | Professional | 53 · Discontinued | $29.51 | $29.51 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 55 · Aftercare only | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $15.14 | Professional | 56 · Pre-op care only | $14.79 | $14.79 | $15.14 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $147.91 Typical High $162.18 | Professional | None | $134.90 | $147.91 | $162.18 |
Capital Blue Cross Setting Facility Modifier None Typical Low $141.25 Median $162.18 Typical High $190.55 | Facility | None | $141.25 | $162.18 | $190.55 |
Capital Blue Cross Setting Professional Modifier None Typical Low $138.04 Median $154.88 Typical High $154.88 | Professional | None | $138.04 | $154.88 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $251.19 Typical High $575.44 | Facility | None | $147.91 | $251.19 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Emblem Health Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $389.05 | Professional | None | $138.04 | $162.18 | $389.05 |
Geisinger Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Geisinger Setting Professional Modifier None Typical Low $154.88 Median $257.04 Typical High $416.87 | Professional | None | $154.88 | $257.04 | $416.87 |
Highmark BCBS Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $302.00 | Facility | None | $281.84 | $281.84 | $302.00 |
Highmark BCBS Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Martin's Point Setting Facility Modifier None Typical Low $147.91 Median $229.09 Typical High $426.58 | Facility | None | $147.91 | $229.09 | $426.58 |
Martin's Point Setting Professional Modifier None Typical Low $147.91 Median $151.36 Typical High $151.36 | Professional | None | $147.91 | $151.36 | $151.36 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $74.13 Typical High $75.86 | Professional | 52 · Reduced service | $74.13 | $74.13 | $75.86 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $30.20 | Professional | 53 · Discontinued | $29.51 | $29.51 | $30.20 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 55 · Aftercare only | $22.39 | $22.39 | $22.39 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $15.14 | Professional | 56 · Pre-op care only | $14.79 | $14.79 | $15.14 |
Oscar Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $457.09 | Professional | None | $30.20 | $30.20 | $457.09 |
UPMC Health Plan Setting Facility Modifier None Typical Low $138.04 Median $173.78 Typical High $181.97 | Facility | None | $138.04 | $173.78 | $181.97 |
UPMC Health Plan Setting Professional Modifier None Typical Low $138.04 Median $141.25 Typical High $158.49 | Professional | None | $138.04 | $141.25 | $158.49 |
United Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
United Setting Professional Modifier None Typical Low $125.89 Median $144.54 Typical High $173.78 | Professional | None | $125.89 | $144.54 | $173.78 |
Where Pennsylvania sits
The same service costs 2.4 times more in Wyoming 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· 15th of 51
$151
WY $355NY $148
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.