How much rates vary
Facilitymedian $9 · 10th to 90th $8 to $93Professionalmedian $9 · 10th to 90th $7 to $14
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 $6.76 Median $6.76 Typical High $8.51 | Facility | None | $6.76 | $6.76 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $8.51 Typical High $8.51 | Professional | None | $6.76 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.00 Median $1.26 Typical High $1.26 | Professional | 55 · Aftercare only | $1.00 | $1.26 | $1.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.68 Median $0.85 Typical High $0.85 | Professional | 56 · Pre-op care only | $0.68 | $0.85 | $0.85 |
Ambetter Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
AmeriHealth Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
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 $10.96 Median $13.80 Typical High $13.80 | Professional | None | $10.96 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $67.61 | Professional | None | $7.08 | $7.08 | $67.61 |
Emblem Health Setting Professional Modifier None Typical Low $7.94 Median $20.42 Typical High $23.44 | Professional | None | $7.94 | $20.42 | $23.44 |
Geisinger Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Geisinger Setting Professional Modifier None Typical Low $8.51 Median $9.77 Typical High $14.13 | Professional | None | $8.51 | $9.77 | $14.13 |
Highmark BCBS Setting Professional Modifier None Typical Low $9.55 Median $10.23 Typical High $10.23 | Professional | None | $9.55 | $10.23 | $10.23 |
Independence Blue Cross Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
Martin's Point Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Facility | None | $6.76 | $6.76 | $6.76 |
Martin's Point Setting Professional Modifier None Typical Low $6.76 Median $8.51 Typical High $8.51 | Professional | None | $6.76 | $8.51 | $8.51 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.00 Median $1.26 Typical High $1.26 | Professional | 55 · Aftercare only | $1.00 | $1.26 | $1.26 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.68 Median $0.85 Typical High $0.85 | Professional | 56 · Pre-op care only | $0.68 | $0.85 | $0.85 |
Oscar Health Setting Professional Modifier None Typical Low $12.59 Median $19.50 Typical High $20.89 | Professional | None | $12.59 | $19.50 | $20.89 |
UPMC Health Plan Setting Facility Modifier None Typical Low $9.77 Median $44.67 Typical High $77.62 | Facility | None | $9.77 | $44.67 | $77.62 |
UPMC Health Plan Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $13.18 | Professional | None | $9.77 | $9.77 | $13.18 |
United Setting Professional Modifier None Typical Low $5.37 Median $6.92 Typical High $11.48 | Professional | None | $5.37 | $6.92 | $11.48 |
Where Pennsylvania sits
The same service costs 2.1 times more in Idaho than in Delaware. 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· 27th of 51
$8.51
ID $14.79DE $7.08
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.