How much rates vary
Facilitymedian $37 · 10th to 90th $32 to $112Professionalmedian $32 · 10th to 90th $32 to $40
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 $31.62 Median $48.98 Typical High $104.71 | Facility | None | $31.62 | $48.98 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $32.36 Typical High $33.11 | Professional | None | $31.62 | $32.36 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $15.85 Typical High $16.22 | Professional | 52 · Reduced service | $15.85 | $15.85 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $3.24 |
Ambetter Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $35.48 | Professional | None | $31.62 | $31.62 | $35.48 |
Capital Blue Cross Setting Facility Modifier None Typical Low $29.51 Median $33.88 Typical High $40.74 | Facility | None | $29.51 | $33.88 | $40.74 |
Capital Blue Cross Setting Professional Modifier None Typical Low $29.51 Median $32.36 Typical High $32.36 | Professional | None | $29.51 | $32.36 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $53.70 Typical High $123.03 | Facility | None | $31.62 | $53.70 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Emblem Health Setting Professional Modifier None Typical Low $26.30 Median $33.11 Typical High $52.48 | Professional | None | $26.30 | $33.11 | $52.48 |
Geisinger Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Geisinger Setting Professional Modifier None Typical Low $33.11 Median $57.54 Typical High $100.00 | Professional | None | $33.11 | $57.54 | $100.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $25.12 Median $28.18 Typical High $33.88 | Facility | None | $25.12 | $28.18 | $33.88 |
Highmark BCBS Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $50.12 | Professional | None | $38.02 | $44.67 | $50.12 |
Martin's Point Setting Facility Modifier None Typical Low $31.62 Median $48.98 Typical High $100.00 | Facility | None | $31.62 | $48.98 | $100.00 |
Martin's Point Setting Professional Modifier None Typical Low $31.62 Median $32.36 Typical High $32.36 | Professional | None | $31.62 | $32.36 | $32.36 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $15.85 Typical High $16.22 | Professional | 52 · Reduced service | $15.85 | $15.85 | $16.22 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.46 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $4.79 | $4.79 | $4.79 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $3.24 |
Oscar Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $125.89 | Professional | None | $30.20 | $30.20 | $125.89 |
UPMC Health Plan Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $48.98 | Facility | None | $37.15 | $37.15 | $48.98 |
UPMC Health Plan Setting Professional Modifier None Typical Low $42.66 Median $43.65 Typical High $48.98 | Professional | None | $42.66 | $43.65 | $48.98 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $33.11 Median $38.02 Typical High $45.71 | Professional | None | $33.11 | $38.02 | $45.71 |
Where Pennsylvania sits
The same service costs 1.7 times more in Hawaii 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· 34th of 51
$32.36
HI $54.95KY $31.62
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.