How much rates vary
Facilitymedian $3 · 10th to 90th $3 to $35Professionalmedian $3 · 10th to 90th $3 to $5
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 $2.51 Median $2.51 Typical High $3.09 | Facility | None | $2.51 | $2.51 | $3.09 |
Aetna Setting Professional Modifier None Typical Low $2.51 Median $3.09 Typical High $3.09 | Professional | None | $2.51 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.38 Median $0.47 Typical High $0.47 | Professional | 55 · Aftercare only | $0.38 | $0.47 | $0.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.25 Median $0.31 Typical High $0.31 | Professional | 56 · Pre-op care only | $0.25 | $0.31 | $0.31 |
Ambetter Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | None | $3.89 | $3.89 | $3.89 |
AmeriHealth Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | None | $3.31 | $3.31 | $3.31 |
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 $4.07 Median $5.13 Typical High $5.13 | Professional | None | $4.07 | $5.13 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $3.09 Typical High $3.24 | Facility | None | $3.09 | $3.09 | $3.24 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $25.12 | Professional | None | $2.57 | $2.57 | $25.12 |
Emblem Health Setting Professional Modifier None Typical Low $4.79 Median $7.59 Typical High $8.71 | Professional | None | $4.79 | $7.59 | $8.71 |
Geisinger Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Facility | None | $5.25 | $5.25 | $5.25 |
Geisinger Setting Professional Modifier None Typical Low $3.09 Median $3.63 Typical High $5.25 | Professional | None | $3.09 | $3.63 | $5.25 |
Highmark BCBS Setting Professional Modifier None Typical Low $3.39 Median $3.80 Typical High $5.13 | Professional | None | $3.39 | $3.80 | $5.13 |
Independence Blue Cross Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | None | $3.31 | $3.31 | $3.31 |
Martin's Point Setting Facility Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Facility | None | $2.51 | $2.51 | $2.51 |
Martin's Point Setting Professional Modifier None Typical Low $2.51 Median $3.09 Typical High $3.09 | Professional | None | $2.51 | $3.09 | $3.09 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.38 Median $0.47 Typical High $0.47 | Professional | 55 · Aftercare only | $0.38 | $0.47 | $0.47 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.25 Median $0.31 Typical High $0.31 | Professional | 56 · Pre-op care only | $0.25 | $0.31 | $0.31 |
Oscar Health Setting Professional Modifier None Typical Low $4.68 Median $7.24 Typical High $7.76 | Professional | None | $4.68 | $7.24 | $7.76 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.63 Median $16.60 Typical High $28.18 | Facility | None | $3.63 | $16.60 | $28.18 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $4.79 | Professional | None | $3.63 | $3.63 | $4.79 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.51 Typical High $4.27 | Professional | None | $1.95 | $2.51 | $4.27 |
Where Pennsylvania sits
The same service costs 3.2 times more in Kansas than in Missouri. 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
$3.24
KS $8.13MO $2.57
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.