How much rates vary
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 $3.89 Median $3.89 Typical High $4.90 | Facility | None | $3.89 | $3.89 | $4.90 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $4.90 Typical High $4.90 | Professional | None | $3.89 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.59 Median $0.74 Typical High $0.74 | Professional | 55 · Aftercare only | $0.59 | $0.74 | $0.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.39 Median $0.49 Typical High $0.49 | Professional | 56 · Pre-op care only | $0.39 | $0.49 | $0.49 |
Ambetter Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | None | $6.17 | $6.17 | $6.17 |
AmeriHealth Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | None | $5.25 | $5.25 | $5.25 |
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 $6.46 Median $7.94 Typical High $7.94 | Professional | None | $6.46 | $7.94 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $5.13 | Facility | None | $4.79 | $4.79 | $5.13 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $39.81 | Professional | None | $4.07 | $4.07 | $39.81 |
Emblem Health Setting Professional Modifier None Typical Low $4.47 Median $11.75 Typical High $13.80 | Professional | None | $4.47 | $11.75 | $13.80 |
Geisinger Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Geisinger Setting Professional Modifier None Typical Low $4.90 Median $5.75 Typical High $8.13 | Professional | None | $4.90 | $5.75 | $8.13 |
Highmark BCBS Setting Professional Modifier None Typical Low $5.62 Median $6.03 Typical High $6.31 | Professional | None | $5.62 | $6.03 | $6.31 |
Independence Blue Cross Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | None | $5.25 | $5.25 | $5.25 |
Martin's Point Setting Facility Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Facility | None | $3.89 | $3.89 | $3.89 |
Martin's Point Setting Professional Modifier None Typical Low $3.89 Median $4.90 Typical High $4.90 | Professional | None | $3.89 | $4.90 | $4.90 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.59 Median $0.74 Typical High $0.74 | Professional | 55 · Aftercare only | $0.59 | $0.74 | $0.74 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.39 Median $0.49 Typical High $0.49 | Professional | 56 · Pre-op care only | $0.39 | $0.49 | $0.49 |
Oscar Health Setting Professional Modifier None Typical Low $7.24 Median $11.48 Typical High $12.02 | Professional | None | $7.24 | $11.48 | $12.02 |
UPMC Health Plan Setting Facility Modifier None Typical Low $5.75 Median $26.30 Typical High $44.67 | Facility | None | $5.75 | $26.30 | $44.67 |
UPMC Health Plan Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $7.59 | Professional | None | $5.75 | $5.75 | $7.59 |
United Setting Professional Modifier None Typical Low $3.09 Median $3.98 Typical High $6.61 | Professional | None | $3.09 | $3.98 | $6.61 |
Where Pennsylvania sits
The same service costs 2.3 times more in Kansas than in Utah. 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· 32nd of 51
$4.90
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.