How much rates vary
Facilitymedian $191 · 10th to 90th $3 to $603Professionalmedian $3 · 10th to 90th $2 to $4
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 $2.14 Median $2.14 Typical High $3.98 | Facility | None | $2.14 | $2.14 | $3.98 |
Aetna Setting Professional Modifier None Typical Low $1.55 Median $2.45 Typical High $2.69 | Professional | None | $1.55 | $2.45 | $2.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.07 Median $1.35 Typical High $1.35 | Professional | 52 · Reduced service | $1.07 | $1.35 | $1.35 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.43 Median $0.54 Typical High $0.54 | Professional | 53 · Discontinued | $0.43 | $0.54 | $0.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.32 Median $0.40 Typical High $0.40 | Professional | 55 · Aftercare only | $0.32 | $0.40 | $0.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.27 Typical High $0.27 | Professional | 56 · Pre-op care only | $0.22 | $0.27 | $0.27 |
Aetna Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | AU · Urologic/ostomy supply | $1.20 | $1.20 | $1.20 |
AmeriHealth Setting Facility Modifier None Typical Low $169.82 Median $398.11 Typical High $602.56 | Facility | None | $169.82 | $398.11 | $602.56 |
AmeriHealth Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
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 $3.98 Median $4.37 Typical High $4.37 | Professional | None | $3.98 | $4.37 | $4.37 |
Capital Blue Cross Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $3.98 Median $4.37 Typical High $4.37 | Professional | AU · Urologic/ostomy supply | $3.98 | $4.37 | $4.37 |
Cigna Setting Facility Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Facility | None | $2.63 | $2.63 | $2.63 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Emblem Health Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $7.08 | Professional | None | $5.50 | $5.50 | $7.08 |
Geisinger Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Facility | None | $4.47 | $4.47 | $4.47 |
Geisinger Setting Professional Modifier None Typical Low $2.69 Median $2.88 Typical High $4.47 | Professional | None | $2.69 | $2.88 | $4.47 |
Geisinger Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $2.69 Median $2.69 Typical High $4.47 | Professional | AU · Urologic/ostomy supply | $2.69 | $2.69 | $4.47 |
Highmark BCBS Setting Facility Modifier None Typical Low $7.76 Median $15.14 Typical High $25.70 | Facility | None | $7.76 | $15.14 | $25.70 |
Independence Blue Cross Setting Facility Modifier None Typical Low $169.82 Median $323.59 Typical High $602.56 | Facility | None | $169.82 | $323.59 | $602.56 |
Martin's Point Setting Facility Modifier None Typical Low $2.14 Median $2.14 Typical High $3.98 | Facility | None | $2.14 | $2.14 | $3.98 |
Martin's Point Setting Professional Modifier None Typical Low $2.14 Median $2.69 Typical High $2.69 | Professional | None | $2.14 | $2.69 | $2.69 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.07 Median $1.35 Typical High $1.35 | Professional | 52 · Reduced service | $1.07 | $1.35 | $1.35 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.43 Median $0.54 Typical High $0.54 | Professional | 53 · Discontinued | $0.43 | $0.54 | $0.54 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.32 Median $0.40 Typical High $0.40 | Professional | 55 · Aftercare only | $0.32 | $0.40 | $0.40 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.27 Typical High $0.27 | Professional | 56 · Pre-op care only | $0.22 | $0.27 | $0.27 |
Martin's Point Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | AU · Urologic/ostomy supply | $1.20 | $1.20 | $1.20 |
Oscar Health Setting Professional Modifier None Typical Low $4.47 Median $6.31 Typical High $6.61 | Professional | None | $4.47 | $6.31 | $6.61 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.16 Median $15.85 Typical High $24.55 | Facility | None | $3.16 | $15.85 | $24.55 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | None | $3.16 | $3.16 | $3.16 |
UPMC Health Plan Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | AU · Urologic/ostomy supply | $4.17 | $4.17 | $4.17 |
United Setting Professional Modifier None Typical Low $1.86 Median $2.19 Typical High $3.39 | Professional | None | $1.86 | $2.19 | $3.39 |
Where Pennsylvania sits
The same service costs 4.4 times more in Minnesota than in New Hampshire. 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· 19th of 51
$2.69
MN $5.25NH $1.20
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.