How much rates vary
Facilitymedian $10 · 10th to 90th $3 to $5,012Professionalmedian $10 · 10th to 90th $3 to $17
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 $16.60 | Facility | None | $3.02 | $3.02 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $16.22 | Professional | None | $3.02 | $3.02 | $16.22 |
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 $15.14 Median $23.44 Typical High $23.44 | Professional | None | $15.14 | $23.44 | $23.44 |
AmeriHealth Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $15.14 | Professional | None | $13.80 | $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 $10.47 Median $12.30 Typical High $23.44 | Professional | None | $10.47 | $12.30 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $11.75 Typical High $14.79 | Professional | None | $7.94 | $11.75 | $14.79 |
Geisinger Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $21.38 | Professional | None | $17.78 | $17.78 | $21.38 |
Independence Blue Cross Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Martin's Point Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $16.60 | Facility | None | $3.02 | $3.02 | $16.60 |
Martin's Point Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $17.38 | Professional | None | $3.02 | $3.02 | $17.38 |
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 $8.51 Median $10.00 Typical High $13.80 | Facility | None | $8.51 | $10.00 | $13.80 |
UPMC Health Plan Setting Professional Modifier None Typical Low $9.33 Median $10.00 Typical High $11.48 | Professional | None | $9.33 | $10.00 | $11.48 |
United Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $21.38 | Professional | None | $8.91 | $12.59 | $21.38 |
Where Pennsylvania sits
The same service costs 6.6 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· 47th of 51
$10.00
AL $56.23KY $8.51
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.