How much rates vary
Facilitymedian $13 · 10th to 90th $11 to $5,012Professionalmedian $11 · 10th to 90th $10 to $13
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $10.47 Median $12.02 Typical High $1,862.09 | Facility | None | $10.47 | $12.02 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.72 Typical High $12.02 | Professional | None | $10.47 | $10.72 | $12.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $5.37 Typical High $6.03 | Professional | 52 · Reduced service | $5.25 | $5.37 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.14 Typical High $2.40 | Professional | 53 · Discontinued | $2.09 | $2.14 | $2.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.58 Median $1.62 Typical High $1.78 | Professional | 55 · Aftercare only | $1.58 | $1.62 | $1.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.05 Median $1.07 Typical High $1.20 | Professional | 56 · Pre-op care only | $1.05 | $1.07 | $1.20 |
Ambetter Setting Professional Modifier None Typical Low $17.38 Median $22.39 Typical High $22.39 | Professional | None | $17.38 | $22.39 | $22.39 |
AmeriHealth Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
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 $11.22 Median $11.75 Typical High $11.75 | Professional | None | $11.22 | $11.75 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $12.88 Typical High $20.89 | Professional | None | $10.72 | $12.88 | $20.89 |
Emblem Health Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Geisinger Setting Facility Modifier None Typical Low $128.82 Median $134.90 Typical High $204.17 | Facility | None | $128.82 | $134.90 | $204.17 |
Geisinger Setting Professional Modifier None Typical Low $8.51 Median $12.02 Typical High $19.50 | Professional | None | $8.51 | $12.02 | $19.50 |
Highmark BCBS Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Independence Blue Cross Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Martin's Point Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $1,862.09 | Facility | None | $12.02 | $12.02 | $1,862.09 |
Martin's Point Setting Professional Modifier None Typical Low $10.47 Median $10.72 Typical High $12.02 | Professional | None | $10.47 | $10.72 | $12.02 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $5.37 Typical High $6.03 | Professional | 52 · Reduced service | $5.25 | $5.37 | $6.03 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.14 Typical High $2.40 | Professional | 53 · Discontinued | $2.09 | $2.14 | $2.40 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.58 Median $1.62 Typical High $1.78 | Professional | 55 · Aftercare only | $1.58 | $1.62 | $1.78 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.05 Median $1.07 Typical High $1.20 | Professional | 56 · Pre-op care only | $1.05 | $1.07 | $1.20 |
Oscar Health Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
UPMC Health Plan Setting Facility Modifier None Typical Low $11.22 Median $12.88 Typical High $12.88 | Facility | None | $11.22 | $12.88 | $12.88 |
UPMC Health Plan Setting Professional Modifier None Typical Low $11.22 Median $11.75 Typical High $12.88 | Professional | None | $11.22 | $11.75 | $12.88 |
United Setting Professional Modifier None Typical Low $10.00 Median $11.75 Typical High $21.88 | Professional | None | $10.00 | $11.75 | $21.88 |
Where Pennsylvania sits
The same service costs 2.6 times more in Alaska 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· 40th of 51
$11.22
AK $25.12KY $9.77
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.