Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.
| Insurance Carrier | Facility/Professional | Modifier | Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier Global Typical Low $1,445.44 Median $6,165.95 Typical High $9,772.37 | Facility | Global | $1,445.44 | $6,165.95 | $9,772.37 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | 52 · Reduced service | $707.95 | $707.95 | $707.95 |
AmeriHealth Setting Facility Modifier Global Typical Low $2,951.21 Median $3,715.35 Typical High $20,417.38 | Facility | Global | $2,951.21 | $3,715.35 | $20,417.38 |
Capital Blue Cross Setting Facility Modifier Global Typical Low $20,417.38 Median $21,379.62 Typical High $57,543.99 | Facility | Global | $20,417.38 | $21,379.62 | $57,543.99 |
Highmark BCBS Setting Facility Modifier Global Typical Low $5,370.32 Median $8,709.64 Typical High $21,877.62 | Facility | Global | $5,370.32 | $8,709.64 | $21,877.62 |
Highmark BCBS Setting Facility Modifier 50 · Both sides Typical Low $7,762.47 Median $12,882.50 Typical High $21,379.62 | Facility | 50 · Both sides | $7,762.47 | $12,882.50 | $21,379.62 |
Independence Blue Cross Setting Facility Modifier Global Typical Low $2,754.23 Median $3,715.35 Typical High $16,218.10 | Facility | Global | $2,754.23 | $3,715.35 | $16,218.10 |
Martin's Point Setting Facility Modifier Global Typical Low $1,288.25 Median $5,495.41 Typical High $9,772.37 | Facility | Global | $1,288.25 | $5,495.41 | $9,772.37 |
Martin's Point Setting Facility Modifier 52 · Reduced service Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | 52 · Reduced service | $707.95 | $707.95 | $707.95 |
UPMC Health Plan Setting Facility Modifier Global Typical Low $4,073.80 Median $6,760.83 Typical High $12,022.64 | Facility | Global | $4,073.80 | $6,760.83 | $12,022.64 |
United Setting Facility Modifier Global Typical Low $1,737.80 Median $3,467.37 Typical High $5,623.41 | Facility | Global | $1,737.80 | $3,467.37 | $5,623.41 |