How much rates vary
Facilitymedian $8 · 10th to 90th $7 to $79Professionalmedian $7 · 10th to 90th $6 to $12
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 $5.89 Median $5.89 Typical High $7.24 | Facility | None | $5.89 | $5.89 | $7.24 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $7.24 Typical High $7.24 | Professional | None | $5.89 | $7.24 | $7.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.95 Median $3.63 Typical High $3.63 | Professional | 52 · Reduced service | $2.95 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.45 Typical High $1.45 | Professional | 53 · Discontinued | $1.17 | $1.45 | $1.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.87 Median $1.10 Typical High $1.10 | Professional | 55 · Aftercare only | $0.87 | $1.10 | $1.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.58 Median $0.72 Typical High $0.72 | Professional | 56 · Pre-op care only | $0.58 | $0.72 | $0.72 |
AmeriHealth Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | None | $7.76 | $7.76 | $7.76 |
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 $9.55 Median $12.02 Typical High $12.02 | Professional | None | $9.55 | $12.02 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $7.59 | Facility | None | $7.08 | $7.08 | $7.59 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $58.88 | Professional | None | $6.03 | $6.03 | $58.88 |
Emblem Health Setting Professional Modifier None Typical Low $7.94 Median $17.38 Typical High $20.42 | Professional | None | $7.94 | $17.38 | $20.42 |
Geisinger Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
Geisinger Setting Professional Modifier None Typical Low $7.24 Median $8.51 Typical High $12.02 | Professional | None | $7.24 | $8.51 | $12.02 |
Highmark BCBS Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $11.75 | Professional | None | $8.32 | $8.32 | $11.75 |
Independence Blue Cross Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | None | $7.76 | $7.76 | $7.76 |
Martin's Point Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
Martin's Point Setting Professional Modifier None Typical Low $5.89 Median $7.24 Typical High $7.24 | Professional | None | $5.89 | $7.24 | $7.24 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $2.95 Median $3.63 Typical High $3.63 | Professional | 52 · Reduced service | $2.95 | $3.63 | $3.63 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.45 Typical High $1.45 | Professional | 53 · Discontinued | $1.17 | $1.45 | $1.45 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.87 Median $1.10 Typical High $1.10 | Professional | 55 · Aftercare only | $0.87 | $1.10 | $1.10 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.58 Median $0.72 Typical High $0.72 | Professional | 56 · Pre-op care only | $0.58 | $0.72 | $0.72 |
Oscar Health Setting Professional Modifier None Typical Low $12.02 Median $16.98 Typical High $18.20 | Professional | None | $12.02 | $16.98 | $18.20 |
UPMC Health Plan Setting Facility Modifier None Typical Low $8.51 Median $38.90 Typical High $66.07 | Facility | None | $8.51 | $38.90 | $66.07 |
UPMC Health Plan Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $11.22 | Professional | None | $8.51 | $8.51 | $11.22 |
United Setting Professional Modifier None Typical Low $4.57 Median $5.89 Typical High $10.00 | Professional | None | $4.57 | $5.89 | $10.00 |
Where Pennsylvania sits
The same service costs 2.1 times more in Hawaii 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· 31st of 51
$7.24
HI $12.59DE $6.03
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.