How much rates vary
Facilitymedian $2 · 10th to 90th $2 to $17Professionalmedian $2 · 10th to 90th $1 to $3
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 $1.26 Median $1.26 Typical High $1.58 | Facility | None | $1.26 | $1.26 | $1.58 |
Aetna Setting Professional Modifier None Typical Low $1.26 Median $1.58 Typical High $1.58 | Professional | None | $1.26 | $1.58 | $1.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.65 Median $0.79 Typical High $0.79 | Professional | 52 · Reduced service | $0.65 | $0.79 | $0.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.25 Median $0.32 Typical High $0.32 | Professional | 53 · Discontinued | $0.25 | $0.32 | $0.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.19 Median $0.24 Typical High $0.24 | Professional | 55 · Aftercare only | $0.19 | $0.24 | $0.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.16 Typical High $0.16 | Professional | 56 · Pre-op care only | $0.13 | $0.16 | $0.16 |
Ambetter Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | None | $2.00 | $2.00 | $2.00 |
AmeriHealth Setting Professional Modifier None Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | None | $1.70 | $1.70 | $1.70 |
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 $2.04 Median $2.57 Typical High $2.57 | Professional | None | $2.04 | $2.57 | $2.57 |
Cigna Setting Facility Modifier None Typical Low $1.55 Median $1.55 Typical High $1.66 | Facility | None | $1.55 | $1.55 | $1.66 |
Cigna Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $12.88 | Professional | None | $1.32 | $1.32 | $12.88 |
Emblem Health Setting Professional Modifier None Typical Low $1.48 Median $3.80 Typical High $4.47 | Professional | None | $1.48 | $3.80 | $4.47 |
Geisinger Setting Facility Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Facility | None | $2.63 | $2.63 | $2.63 |
Geisinger Setting Professional Modifier None Typical Low $1.58 Median $1.86 Typical High $2.63 | Professional | None | $1.58 | $1.86 | $2.63 |
Highmark BCBS Setting Professional Modifier None Typical Low $1.82 Median $1.95 Typical High $1.95 | Professional | None | $1.82 | $1.95 | $1.95 |
Independence Blue Cross Setting Professional Modifier None Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | None | $1.70 | $1.70 | $1.70 |
Martin's Point Setting Facility Modifier None Typical Low $1.26 Median $1.26 Typical High $1.26 | Facility | None | $1.26 | $1.26 | $1.26 |
Martin's Point Setting Professional Modifier None Typical Low $1.26 Median $1.58 Typical High $1.58 | Professional | None | $1.26 | $1.58 | $1.58 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.65 Median $0.79 Typical High $0.79 | Professional | 52 · Reduced service | $0.65 | $0.79 | $0.79 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.25 Median $0.32 Typical High $0.32 | Professional | 53 · Discontinued | $0.25 | $0.32 | $0.32 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.19 Median $0.24 Typical High $0.24 | Professional | 55 · Aftercare only | $0.19 | $0.24 | $0.24 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.16 Typical High $0.16 | Professional | 56 · Pre-op care only | $0.13 | $0.16 | $0.16 |
Oscar Health Setting Professional Modifier None Typical Low $2.57 Median $3.72 Typical High $3.89 | Professional | None | $2.57 | $3.72 | $3.89 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1.86 Median $8.51 Typical High $14.45 | Facility | None | $1.86 | $8.51 | $14.45 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $2.45 | Professional | None | $1.86 | $1.86 | $2.45 |
United Setting Professional Modifier None Typical Low $1.00 Median $1.29 Typical High $2.14 | Professional | None | $1.00 | $1.29 | $2.14 |
Where Pennsylvania sits
The same service costs 2.3 times more in Kansas than in New Jersey. 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· 28th of 51
$1.66
KS $3.09NJ $1.32
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.