How much rates vary
Facilitymedian $15 · 10th to 90th $1 to $708Professionalmedian $13 · 10th to 90th $10 to $21
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 $10.00 Median $16.60 Typical High $23.44 | Facility | None | $10.00 | $16.60 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $21.38 | Professional | None | $10.00 | $10.00 | $21.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 52 · Reduced service | $5.01 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | 53 · Discontinued | $2.00 | $2.00 | $2.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | 55 · Aftercare only | $1.51 | $1.51 | $1.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | 56 · Pre-op care only | $1.00 | $1.00 | $1.00 |
Ambetter Setting Professional Modifier None Typical Low $13.18 Median $24.55 Typical High $30.20 | Professional | None | $13.18 | $24.55 | $30.20 |
AmeriHealth Setting Facility Modifier None Typical Low $851.14 Median $1,122.02 Typical High $1,148.15 | Facility | None | $851.14 | $1,122.02 | $1,148.15 |
AmeriHealth Setting Professional Modifier None Typical Low $11.75 Median $13.80 Typical High $15.14 | Professional | None | $11.75 | $13.80 | $15.14 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $14.45 Median $14.79 Typical High $26.30 | Professional | None | $14.45 | $14.79 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $12.88 Typical High $16.98 | Professional | None | $9.12 | $12.88 | $16.98 |
Geisinger Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $27.54 | Professional | None | $22.91 | $22.91 | $27.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $10.00 Median $19.95 Typical High $74.13 | Facility | None | $10.00 | $19.95 | $74.13 |
Independence Blue Cross Setting Facility Modifier None Typical Low $851.14 Median $1,122.02 Typical High $1,148.15 | Facility | None | $851.14 | $1,122.02 | $1,148.15 |
Independence Blue Cross Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $15.14 | Professional | None | $13.80 | $13.80 | $15.14 |
Martin's Point Setting Facility Modifier None Typical Low $10.00 Median $20.42 Typical High $23.44 | Facility | None | $10.00 | $20.42 | $23.44 |
Martin's Point Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $22.39 | Professional | None | $10.00 | $10.00 | $22.39 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 52 · Reduced service | $5.01 | $5.01 | $5.01 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | 53 · Discontinued | $2.00 | $2.00 | $2.00 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | 55 · Aftercare only | $1.51 | $1.51 | $1.51 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | 56 · Pre-op care only | $1.00 | $1.00 | $1.00 |
Oscar Health Setting Facility Modifier None Typical Low $478.63 Median $512.86 Typical High $707.95 | Facility | None | $478.63 | $512.86 | $707.95 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.38 Median $0.74 Typical High $13.80 | Facility | None | $0.38 | $0.74 | $13.80 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.72 Median $10.72 Typical High $13.80 | Professional | None | $3.72 | $10.72 | $13.80 |
United Setting Professional Modifier None Typical Low $10.00 Median $12.88 Typical High $21.38 | Professional | None | $10.00 | $12.88 | $21.38 |
Where Pennsylvania sits
The same service costs 5.6 times more in Alabama 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· 39th of 51
$12.59
AL $56.23KY $10.00
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.