How much rates vary
Facilitymedian $60 · 10th to 90th $50 to $141Professionalmedian $62 · 10th to 90th $54 to $62
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 $60.26 Median $75.86 Typical High $134.90 | Facility | None | $60.26 | $75.86 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $61.66 Typical High $63.10 | Professional | None | $60.26 | $61.66 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $30.20 Typical High $30.90 | Professional | 52 · Reduced service | $30.20 | $30.20 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.30 | Professional | 53 · Discontinued | $12.02 | $12.02 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 55 · Aftercare only | $9.12 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.03 Typical High $6.17 | Professional | 56 · Pre-op care only | $6.03 | $6.03 | $6.17 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
AmeriHealth Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $58.88 | Facility | None | $50.12 | $50.12 | $58.88 |
Capital Blue Cross Setting Facility Modifier None Typical Low $56.23 Median $64.57 Typical High $75.86 | Facility | None | $56.23 | $64.57 | $75.86 |
Capital Blue Cross Setting Professional Modifier None Typical Low $56.23 Median $61.66 Typical High $61.66 | Professional | None | $56.23 | $61.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $100.00 Typical High $229.09 | Facility | None | $60.26 | $100.00 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Emblem Health Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $85.11 | Professional | None | $51.29 | $60.26 | $85.11 |
Geisinger Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Geisinger Setting Professional Modifier None Typical Low $61.66 Median $91.20 Typical High $128.82 | Professional | None | $61.66 | $91.20 | $128.82 |
Highmark BCBS Setting Facility Modifier None Typical Low $47.86 Median $134.90 Typical High $190.55 | Facility | None | $47.86 | $134.90 | $190.55 |
Highmark BCBS Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Independence Blue Cross Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $64.57 | Facility | None | $50.12 | $50.12 | $64.57 |
Martin's Point Setting Facility Modifier None Typical Low $60.26 Median $83.18 Typical High $134.90 | Facility | None | $60.26 | $83.18 | $134.90 |
Martin's Point Setting Professional Modifier None Typical Low $60.26 Median $61.66 Typical High $61.66 | Professional | None | $60.26 | $61.66 | $61.66 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $30.20 Typical High $30.90 | Professional | 52 · Reduced service | $30.20 | $30.20 | $30.90 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.30 | Professional | 53 · Discontinued | $12.02 | $12.02 | $12.30 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 55 · Aftercare only | $9.12 | $9.12 | $9.12 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.03 Typical High $6.17 | Professional | 56 · Pre-op care only | $6.03 | $6.03 | $6.17 |
Oscar Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $107.15 | Professional | None | $30.20 | $30.20 | $107.15 |
UPMC Health Plan Setting Facility Modifier None Typical Low $33.11 Median $70.79 Typical High $81.28 | Facility | None | $33.11 | $70.79 | $81.28 |
UPMC Health Plan Setting Professional Modifier None Typical Low $33.11 Median $33.88 Typical High $38.90 | Professional | None | $33.11 | $33.88 | $38.90 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $72.44 | Professional | None | $51.29 | $60.26 | $72.44 |
Where Pennsylvania sits
The same service costs 2.0 times more in Wyoming than in Hawaii. 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
$60.26
WY $83.18HI $41.69
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.