How much rates vary
Facilitymedian $4 · 10th to 90th $4 to $44Professionalmedian $4 · 10th to 90th $3 to $6
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 $3.98 | Facility | None | $3.24 | $3.24 | $3.98 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $3.98 Typical High $3.98 | Professional | None | $3.24 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.58 Median $2.00 Typical High $2.00 | Professional | 52 · Reduced service | $1.58 | $2.00 | $2.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.79 Typical High $0.79 | Professional | 53 · Discontinued | $0.65 | $0.79 | $0.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.48 Median $0.60 Typical High $0.60 | Professional | 55 · Aftercare only | $0.48 | $0.60 | $0.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.32 Median $0.40 Typical High $0.40 | Professional | 56 · Pre-op care only | $0.32 | $0.40 | $0.40 |
Ambetter Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $6.61 | Professional | None | $3.98 | $3.98 | $6.61 |
AmeriHealth Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | None | $4.27 | $4.27 | $4.27 |
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 $5.25 Median $6.46 Typical High $6.46 | Professional | None | $5.25 | $6.46 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $3.89 Typical High $4.17 | Facility | None | $3.89 | $3.89 | $4.17 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $32.36 | Professional | None | $3.31 | $3.31 | $32.36 |
Emblem Health Setting Professional Modifier None Typical Low $6.17 Median $9.55 Typical High $11.22 | Professional | None | $6.17 | $9.55 | $11.22 |
Geisinger Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
Geisinger Setting Professional Modifier None Typical Low $3.98 Median $4.37 Typical High $6.61 | Professional | None | $3.98 | $4.37 | $6.61 |
Highmark BCBS Setting Professional Modifier None Typical Low $4.57 Median $4.90 Typical High $4.90 | Professional | None | $4.57 | $4.90 | $4.90 |
Independence Blue Cross Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | None | $4.27 | $4.27 | $4.27 |
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 $3.98 Typical High $3.98 | Professional | None | $3.24 | $3.98 | $3.98 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.58 Median $2.00 Typical High $2.00 | Professional | 52 · Reduced service | $1.58 | $2.00 | $2.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.79 Typical High $0.79 | Professional | 53 · Discontinued | $0.65 | $0.79 | $0.79 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.48 Median $0.60 Typical High $0.60 | Professional | 55 · Aftercare only | $0.48 | $0.60 | $0.60 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.32 Median $0.40 Typical High $0.40 | Professional | 56 · Pre-op care only | $0.32 | $0.40 | $0.40 |
Oscar Health Setting Professional Modifier None Typical Low $6.03 Median $6.61 Typical High $10.00 | Professional | None | $6.03 | $6.61 | $10.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $4.68 Median $21.38 Typical High $36.31 | Facility | None | $4.68 | $21.38 | $36.31 |
UPMC Health Plan Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $6.17 | Professional | None | $4.68 | $4.68 | $6.17 |
United Setting Professional Modifier None Typical Low $2.51 Median $3.24 Typical High $5.37 | Professional | None | $2.51 | $3.24 | $5.37 |
Where Pennsylvania sits
The same service costs 2.1 times more in Montana 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· 30th of 51
$4.07
MT $6.92NJ $3.31
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.