How much rates vary
Facilitymedian $28 · 10th to 90th $7 to $331Professionalmedian $14 · 10th to 90th $3 to $25
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 $3.02 Median $3.02 Typical High $22.91 | Facility | None | $3.02 | $3.02 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $24.55 | Professional | None | $3.02 | $3.02 | $24.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | 52 · Reduced service | $1.51 | $1.51 | $1.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | 53 · Discontinued | $0.60 | $0.60 | $0.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.45 Median $0.45 Typical High $0.45 | Professional | 55 · Aftercare only | $0.45 | $0.45 | $0.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.30 Median $0.30 Typical High $0.30 | Professional | 56 · Pre-op care only | $0.30 | $0.30 | $0.30 |
Ambetter Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
AmeriHealth Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $23.99 | Professional | None | $21.88 | $21.88 | $23.99 |
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 $15.85 Median $15.85 Typical High $37.15 | Professional | None | $15.85 | $15.85 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $15.85 Typical High $30.20 | Professional | None | $9.12 | $15.85 | $30.20 |
Geisinger Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $29.51 | Professional | None | $24.55 | $24.55 | $29.51 |
Highmark BCBS Setting Facility Modifier None Typical Low $117.49 Median $288.40 Typical High $331.13 | Facility | None | $117.49 | $288.40 | $331.13 |
Independence Blue Cross Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Martin's Point Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $22.91 | Facility | None | $3.02 | $3.02 | $22.91 |
Martin's Point Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $24.55 | Professional | None | $3.02 | $3.02 | $24.55 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | 52 · Reduced service | $1.51 | $1.51 | $1.51 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | 53 · Discontinued | $0.60 | $0.60 | $0.60 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.45 Median $0.45 Typical High $0.45 | Professional | 55 · Aftercare only | $0.45 | $0.45 | $0.45 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.30 Median $0.30 Typical High $0.30 | Professional | 56 · Pre-op care only | $0.30 | $0.30 | $0.30 |
UPMC Health Plan Setting Facility Modifier None Typical Low $7.41 Median $21.88 Typical High $39.81 | Facility | None | $7.41 | $21.88 | $39.81 |
UPMC Health Plan Setting Professional Modifier None Typical Low $7.41 Median $14.13 Typical High $15.85 | Professional | None | $7.41 | $14.13 | $15.85 |
United Setting Facility Modifier None Typical Low $100.00 Median $208.93 Typical High $245.47 | Facility | None | $100.00 | $208.93 | $245.47 |
United Setting Professional Modifier None Typical Low $10.96 Median $14.79 Typical High $24.55 | Professional | None | $10.96 | $14.79 | $24.55 |
Where Pennsylvania sits
The same service costs 5.2 times more in Texas 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· 49th of 51
$14.13
TX $66.07KY $12.59
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.