How much rates vary
Facilitymedian $3 · 10th to 90th $2 to $26Professionalmedian $2 · 10th to 90th $2 to $4
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 $1.91 Median $1.91 Typical High $2.40 | Facility | None | $1.91 | $1.91 | $2.40 |
Aetna Setting Professional Modifier None Typical Low $1.91 Median $2.40 Typical High $2.40 | Professional | None | $1.91 | $2.40 | $2.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.95 Median $1.20 Typical High $1.20 | Professional | 52 · Reduced service | $0.95 | $1.20 | $1.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.38 Median $0.48 Typical High $0.48 | Professional | 53 · Discontinued | $0.38 | $0.48 | $0.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.28 Median $0.36 Typical High $0.36 | Professional | 55 · Aftercare only | $0.28 | $0.36 | $0.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.19 Median $0.24 Typical High $0.24 | Professional | 56 · Pre-op care only | $0.19 | $0.24 | $0.24 |
Ambetter Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
AmeriHealth Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | None | $2.51 | $2.51 | $2.51 |
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 $3.09 Median $3.89 Typical High $3.89 | Professional | None | $3.09 | $3.89 | $3.89 |
Cigna Setting Facility Modifier None Typical Low $2.34 Median $2.34 Typical High $2.51 | Facility | None | $2.34 | $2.34 | $2.51 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $19.50 | Professional | None | $2.00 | $2.00 | $19.50 |
Emblem Health Setting Professional Modifier None Typical Low $2.57 Median $5.75 Typical High $6.76 | Professional | None | $2.57 | $5.75 | $6.76 |
Geisinger Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | None | $3.98 | $3.98 | $3.98 |
Geisinger Setting Professional Modifier None Typical Low $2.40 Median $2.82 Typical High $3.98 | Professional | None | $2.40 | $2.82 | $3.98 |
Highmark BCBS Setting Professional Modifier None Typical Low $2.75 Median $2.95 Typical High $3.89 | Professional | None | $2.75 | $2.95 | $3.89 |
Independence Blue Cross Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | None | $2.51 | $2.51 | $2.51 |
Martin's Point Setting Facility Modifier None Typical Low $1.91 Median $1.91 Typical High $1.91 | Facility | None | $1.91 | $1.91 | $1.91 |
Martin's Point Setting Professional Modifier None Typical Low $1.91 Median $2.40 Typical High $2.40 | Professional | None | $1.91 | $2.40 | $2.40 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.95 Median $1.20 Typical High $1.20 | Professional | 52 · Reduced service | $0.95 | $1.20 | $1.20 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.38 Median $0.48 Typical High $0.48 | Professional | 53 · Discontinued | $0.38 | $0.48 | $0.48 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.28 Median $0.36 Typical High $0.36 | Professional | 55 · Aftercare only | $0.28 | $0.36 | $0.36 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.19 Median $0.24 Typical High $0.24 | Professional | 56 · Pre-op care only | $0.19 | $0.24 | $0.24 |
Oscar Health Setting Professional Modifier None Typical Low $3.98 Median $5.50 Typical High $5.89 | Professional | None | $3.98 | $5.50 | $5.89 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2.75 Median $12.59 Typical High $21.88 | Facility | None | $2.75 | $12.59 | $21.88 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $3.72 | Professional | None | $2.75 | $2.75 | $3.72 |
United Setting Professional Modifier None Typical Low $1.48 Median $1.95 Typical High $3.24 | Professional | None | $1.48 | $1.95 | $3.24 |
Where Pennsylvania sits
The same service costs 2.2 times more in Kansas 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
$2.51
KS $4.47DE $2.00
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.