How much rates vary
Facilitymedian $48 · 10th to 90th $9 to $5,370Professionalmedian $18 · 10th to 90th $9 to $30
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 $10.72 Median $14.79 Typical High $20.89 | Facility | None | $10.72 | $14.79 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $17.78 Typical High $22.91 | Professional | None | $9.77 | $17.78 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.90 Median $6.46 Typical High $10.47 | Professional | 52 · Reduced service | $4.90 | $6.46 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.57 Typical High $4.27 | Professional | 53 · Discontinued | $1.95 | $2.57 | $4.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.48 Median $1.95 Typical High $3.16 | Professional | 55 · Aftercare only | $1.48 | $1.95 | $3.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.29 Typical High $2.09 | Professional | 56 · Pre-op care only | $1.00 | $1.29 | $2.09 |
Ambetter Setting Professional Modifier None Typical Low $12.02 Median $19.95 Typical High $19.95 | Professional | None | $12.02 | $19.95 | $19.95 |
AmeriHealth Setting Facility Modifier None Typical Low $1,659.59 Median $3,890.45 Typical High $5,888.44 | Facility | None | $1,659.59 | $3,890.45 | $5,888.44 |
AmeriHealth Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $31.62 | Professional | None | $18.20 | $18.20 | $31.62 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3,981.07 Median $5,011.87 Typical High $56,234.13 | Facility | None | $3,981.07 | $5,011.87 | $56,234.13 |
Capital Blue Cross Setting Professional Modifier None Typical Low $17.78 Median $26.92 Typical High $32.36 | Professional | None | $17.78 | $26.92 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $8.71 Typical High $28.18 | Facility | None | $6.17 | $8.71 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $16.98 Typical High $30.20 | Professional | None | $8.71 | $16.98 | $30.20 |
Emblem Health Setting Professional Modifier None Typical Low $4.27 Median $5.01 Typical High $30.90 | Professional | None | $4.27 | $5.01 | $30.90 |
Geisinger Setting Professional Modifier None Typical Low $12.30 Median $23.99 Typical High $36.31 | Professional | None | $12.30 | $23.99 | $36.31 |
Highmark BCBS Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $851.14 | Facility | None | $338.84 | $338.84 | $851.14 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1,659.59 Median $3,162.28 Typical High $5,888.44 | Facility | None | $1,659.59 | $3,162.28 | $5,888.44 |
Independence Blue Cross Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $33.11 | Professional | None | $18.20 | $18.20 | $33.11 |
Martin's Point Setting Facility Modifier None Typical Low $9.77 Median $14.79 Typical High $20.89 | Facility | None | $9.77 | $14.79 | $20.89 |
Martin's Point Setting Professional Modifier None Typical Low $9.77 Median $18.20 Typical High $23.99 | Professional | None | $9.77 | $18.20 | $23.99 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $4.90 Median $6.46 Typical High $10.47 | Professional | 52 · Reduced service | $4.90 | $6.46 | $10.47 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.57 Typical High $4.27 | Professional | 53 · Discontinued | $1.95 | $2.57 | $4.27 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.48 Median $1.95 Typical High $3.16 | Professional | 55 · Aftercare only | $1.48 | $1.95 | $3.16 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.29 Typical High $2.09 | Professional | 56 · Pre-op care only | $1.00 | $1.29 | $2.09 |
Oscar Health Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $39.81 | Professional | None | $18.20 | $18.20 | $39.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $16.98 Median $27.54 Typical High $50.12 | Facility | None | $16.98 | $27.54 | $50.12 |
UPMC Health Plan Setting Professional Modifier None Typical Low $8.91 Median $16.98 Typical High $23.99 | Professional | None | $8.91 | $16.98 | $23.99 |
United Setting Professional Modifier None Typical Low $8.91 Median $16.98 Typical High $28.84 | Professional | None | $8.91 | $16.98 | $28.84 |
Where Pennsylvania sits
The same service costs 3.1 times more in Wisconsin than in Louisiana. 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· 29th of 51
$18.20
WI $44.67LA $14.45
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.