How much rates vary
Facilitymedian $3 · 10th to 90th $3 to $34Professionalmedian $3 · 10th to 90th $2 to $5
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 $2.45 Median $2.45 Typical High $3.09 | Facility | None | $2.45 | $2.45 | $3.09 |
Aetna Setting Professional Modifier None Typical Low $2.45 Median $3.09 Typical High $3.09 | Professional | None | $2.45 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.23 Median $1.55 Typical High $1.55 | Professional | 52 · Reduced service | $1.23 | $1.55 | $1.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.49 Median $0.62 Typical High $0.62 | Professional | 53 · Discontinued | $0.49 | $0.62 | $0.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.37 Median $0.46 Typical High $0.46 | Professional | 55 · Aftercare only | $0.37 | $0.46 | $0.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.25 Median $0.31 Typical High $0.31 | Professional | 56 · Pre-op care only | $0.25 | $0.31 | $0.31 |
AmeriHealth Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | None | $3.24 | $3.24 | $3.24 |
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 $3.98 Median $5.01 Typical High $5.01 | Professional | None | $3.98 | $5.01 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $3.16 | Facility | None | $3.02 | $3.02 | $3.16 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $24.55 | Professional | None | $2.57 | $2.57 | $24.55 |
Emblem Health Setting Professional Modifier None Typical Low $3.31 Median $7.41 Typical High $8.51 | Professional | None | $3.31 | $7.41 | $8.51 |
Geisinger Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
Geisinger Setting Professional Modifier None Typical Low $3.09 Median $3.55 Typical High $5.13 | Professional | None | $3.09 | $3.55 | $5.13 |
Highmark BCBS Setting Professional Modifier None Typical Low $3.09 Median $3.55 Typical High $4.37 | Professional | None | $3.09 | $3.55 | $4.37 |
Independence Blue Cross Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | None | $3.24 | $3.24 | $3.24 |
Martin's Point Setting Facility Modifier None Typical Low $2.45 Median $2.45 Typical High $2.45 | Facility | None | $2.45 | $2.45 | $2.45 |
Martin's Point Setting Professional Modifier None Typical Low $2.45 Median $3.09 Typical High $3.09 | Professional | None | $2.45 | $3.09 | $3.09 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.23 Median $1.55 Typical High $1.55 | Professional | 52 · Reduced service | $1.23 | $1.55 | $1.55 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.49 Median $0.62 Typical High $0.62 | Professional | 53 · Discontinued | $0.49 | $0.62 | $0.62 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.37 Median $0.46 Typical High $0.46 | Professional | 55 · Aftercare only | $0.37 | $0.46 | $0.46 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.25 Median $0.31 Typical High $0.31 | Professional | 56 · Pre-op care only | $0.25 | $0.31 | $0.31 |
Oscar Health Setting Professional Modifier None Typical Low $5.13 Median $7.24 Typical High $7.59 | Professional | None | $5.13 | $7.24 | $7.59 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.63 Median $16.22 Typical High $28.18 | Facility | None | $3.63 | $16.22 | $28.18 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $4.79 | Professional | None | $3.63 | $3.63 | $4.79 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.51 Typical High $4.17 | Professional | None | $1.95 | $2.51 | $4.17 |
Where Pennsylvania sits
The same service costs 2.3 times more in Kansas than in Utah. 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· 30th of 51
$3.09
KS $6.03UT $2.57
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.