How much rates vary
Facilitymedian $7 · 10th to 90th $6 to $69Professionalmedian $6 · 10th to 90th $5 to $10
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 $5.01 Median $5.01 Typical High $6.31 | Facility | None | $5.01 | $5.01 | $6.31 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $6.31 Typical High $6.31 | Professional | None | $5.01 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.76 Median $0.95 Typical High $0.95 | Professional | 55 · Aftercare only | $0.76 | $0.95 | $0.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.51 Median $0.63 Typical High $0.63 | Professional | 56 · Pre-op care only | $0.51 | $0.63 | $0.63 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
AmeriHealth Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | None | $6.61 | $6.61 | $6.61 |
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 $8.13 Median $10.23 Typical High $10.23 | Professional | None | $8.13 | $10.23 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.61 | Facility | None | $6.17 | $6.17 | $6.61 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $48.98 | Professional | None | $5.25 | $5.25 | $48.98 |
Emblem Health Setting Professional Modifier None Typical Low $6.31 Median $14.13 Typical High $16.22 | Professional | None | $6.31 | $14.13 | $16.22 |
Geisinger Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
Geisinger Setting Professional Modifier None Typical Low $5.13 Median $6.31 Typical High $10.47 | Professional | None | $5.13 | $6.31 | $10.47 |
Highmark BCBS Setting Professional Modifier None Typical Low $7.24 Median $7.76 Typical High $7.76 | Professional | None | $7.24 | $7.76 | $7.76 |
Independence Blue Cross Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | None | $6.61 | $6.61 | $6.61 |
Martin's Point Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
Martin's Point Setting Professional Modifier None Typical Low $5.01 Median $6.31 Typical High $6.31 | Professional | None | $5.01 | $6.31 | $6.31 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.76 Median $0.95 Typical High $0.95 | Professional | 55 · Aftercare only | $0.76 | $0.95 | $0.95 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.51 Median $0.63 Typical High $0.63 | Professional | 56 · Pre-op care only | $0.51 | $0.63 | $0.63 |
Oscar Health Setting Professional Modifier None Typical Low $7.08 Median $14.79 Typical High $15.49 | Professional | None | $7.08 | $14.79 | $15.49 |
UPMC Health Plan Setting Facility Modifier None Typical Low $7.41 Median $33.11 Typical High $57.54 | Facility | None | $7.41 | $33.11 | $57.54 |
UPMC Health Plan Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $9.77 | Professional | None | $7.41 | $7.41 | $9.77 |
United Setting Professional Modifier None Typical Low $3.98 Median $5.13 Typical High $8.51 | Professional | None | $3.98 | $5.13 | $8.51 |
Where Pennsylvania sits
The same service costs 2.1 times more in Hawaii than in Connecticut. 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· 30th of 51
$6.31
HI $10.72CT $5.13
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.