How much rates vary
Facilitymedian $4 · 10th to 90th $4 to $45Professionalmedian $4 · 10th to 90th $3 to $7
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 $3.24 Median $3.24 Typical High $4.07 | Facility | None | $3.24 | $3.24 | $4.07 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $4.07 Typical High $4.07 | Professional | None | $3.24 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.62 Median $2.04 Typical High $2.04 | Professional | 52 · Reduced service | $1.62 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.81 Typical High $0.81 | Professional | 53 · Discontinued | $0.65 | $0.81 | $0.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.49 Median $0.62 Typical High $0.62 | Professional | 55 · Aftercare only | $0.49 | $0.62 | $0.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.33 Median $0.41 Typical High $0.41 | Professional | 56 · Pre-op care only | $0.33 | $0.41 | $0.41 |
Ambetter Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
AmeriHealth Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | None | $4.37 | $4.37 | $4.37 |
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 $5.37 Median $6.61 Typical High $6.61 | Professional | None | $5.37 | $6.61 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $4.27 | Facility | None | $3.98 | $3.98 | $4.27 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $32.36 | Professional | None | $3.39 | $3.39 | $32.36 |
Emblem Health Setting Professional Modifier None Typical Low $4.07 Median $9.77 Typical High $11.48 | Professional | None | $4.07 | $9.77 | $11.48 |
Geisinger Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Facility | None | $6.76 | $6.76 | $6.76 |
Geisinger Setting Professional Modifier None Typical Low $4.07 Median $4.79 Typical High $6.76 | Professional | None | $4.07 | $4.79 | $6.76 |
Highmark BCBS Setting Professional Modifier None Typical Low $4.37 Median $5.01 Typical High $5.89 | Professional | None | $4.37 | $5.01 | $5.89 |
Independence Blue Cross Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | None | $4.37 | $4.37 | $4.37 |
Martin's Point Setting Facility Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Facility | None | $3.24 | $3.24 | $3.24 |
Martin's Point Setting Professional Modifier None Typical Low $3.24 Median $4.07 Typical High $4.07 | Professional | None | $3.24 | $4.07 | $4.07 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.62 Median $2.04 Typical High $2.04 | Professional | 52 · Reduced service | $1.62 | $2.04 | $2.04 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.81 Typical High $0.81 | Professional | 53 · Discontinued | $0.65 | $0.81 | $0.81 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.49 Median $0.62 Typical High $0.62 | Professional | 55 · Aftercare only | $0.49 | $0.62 | $0.62 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.33 Median $0.41 Typical High $0.41 | Professional | 56 · Pre-op care only | $0.33 | $0.41 | $0.41 |
Oscar Health Setting Professional Modifier None Typical Low $6.76 Median $9.55 Typical High $10.00 | Professional | None | $6.76 | $9.55 | $10.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $4.79 Median $21.38 Typical High $37.15 | Facility | None | $4.79 | $21.38 | $37.15 |
UPMC Health Plan Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $6.31 | Professional | None | $4.79 | $4.79 | $6.31 |
United Setting Professional Modifier None Typical Low $2.57 Median $3.31 Typical High $5.50 | Professional | None | $2.57 | $3.31 | $5.50 |
Where Pennsylvania sits
The same service costs 2.1 times more in Kansas than in Alabama. 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
$4.07
KS $7.08AL $3.39
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.