How much rates vary
Facilitymedian $30 · 10th to 90th $26 to $76Professionalmedian $26 · 10th to 90th $25 to $29
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 $25.70 Median $39.81 Typical High $74.13 | Facility | None | $25.70 | $39.81 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $26.30 Typical High $26.92 | Professional | None | $25.70 | $26.30 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $12.88 Typical High $13.18 | Professional | 52 · Reduced service | $12.88 | $12.88 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $5.25 | Professional | 53 · Discontinued | $5.13 | $5.13 | $5.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 55 · Aftercare only | $3.89 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.57 Median $2.57 Typical High $2.63 | Professional | 56 · Pre-op care only | $2.57 | $2.57 | $2.63 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
AmeriHealth Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Capital Blue Cross Setting Facility Modifier None Typical Low $23.99 Median $27.54 Typical High $33.11 | Facility | None | $23.99 | $27.54 | $33.11 |
Capital Blue Cross Setting Professional Modifier None Typical Low $23.99 Median $26.30 Typical High $26.30 | Professional | None | $23.99 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $43.65 Typical High $100.00 | Facility | None | $25.70 | $43.65 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Emblem Health Setting Professional Modifier None Typical Low $19.95 Median $26.92 Typical High $36.31 | Professional | None | $19.95 | $26.92 | $36.31 |
Geisinger Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Geisinger Setting Professional Modifier None Typical Low $25.70 Median $33.88 Typical High $51.29 | Professional | None | $25.70 | $33.88 | $51.29 |
Highmark BCBS Setting Facility Modifier None Typical Low $54.95 Median $56.23 Typical High $109.65 | Facility | None | $54.95 | $56.23 | $109.65 |
Highmark BCBS Setting Professional Modifier None Typical Low $26.92 Median $28.84 Typical High $28.84 | Professional | None | $26.92 | $28.84 | $28.84 |
Independence Blue Cross Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Martin's Point Setting Facility Modifier None Typical Low $25.70 Median $38.90 Typical High $67.61 | Facility | None | $25.70 | $38.90 | $67.61 |
Martin's Point Setting Professional Modifier None Typical Low $25.70 Median $26.30 Typical High $26.30 | Professional | None | $25.70 | $26.30 | $26.30 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $12.88 Typical High $13.18 | Professional | 52 · Reduced service | $12.88 | $12.88 | $13.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $5.25 | Professional | 53 · Discontinued | $5.13 | $5.13 | $5.25 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 55 · Aftercare only | $3.89 | $3.89 | $3.89 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.57 Median $2.57 Typical High $2.63 | Professional | 56 · Pre-op care only | $2.57 | $2.57 | $2.63 |
Oscar Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $114.82 | Professional | None | $30.20 | $30.20 | $114.82 |
UPMC Health Plan Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $38.90 | Facility | None | $30.20 | $30.20 | $38.90 |
UPMC Health Plan Setting Professional Modifier None Typical Low $33.88 Median $34.67 Typical High $38.90 | Professional | None | $33.88 | $34.67 | $38.90 |
United Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $23.99 Median $27.54 Typical High $33.11 | Professional | None | $23.99 | $27.54 | $33.11 |
Where Pennsylvania sits
Rates are fairly even across states for this service. 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
$26.30
WY $36.31NC $25.12
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.