How much rates vary
Facilitymedian $3 · 10th to 90th $3 to $33Professionalmedian $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 $2.40 Median $2.40 Typical High $3.02 | Facility | None | $2.40 | $2.40 | $3.02 |
Aetna Setting Professional Modifier None Typical Low $2.40 Median $3.02 Typical High $3.02 | Professional | None | $2.40 | $3.02 | $3.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.36 Median $0.45 Typical High $0.45 | Professional | 55 · Aftercare only | $0.36 | $0.45 | $0.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.24 Median $0.30 Typical High $0.30 | Professional | 56 · Pre-op care only | $0.24 | $0.30 | $0.30 |
Ambetter Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
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 $4.90 Typical High $4.90 | Professional | None | $3.98 | $4.90 | $4.90 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $3.16 | Facility | None | $2.95 | $2.95 | $3.16 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $24.55 | Professional | None | $2.51 | $2.51 | $24.55 |
Emblem Health Setting Professional Modifier None Typical Low $2.95 Median $7.24 Typical High $8.51 | Professional | None | $2.95 | $7.24 | $8.51 |
Geisinger Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
Geisinger Setting Professional Modifier None Typical Low $2.45 Median $3.02 Typical High $5.01 | Professional | None | $2.45 | $3.02 | $5.01 |
Highmark BCBS Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $5.01 | Professional | None | $3.72 | $3.72 | $5.01 |
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 $2.40 Median $2.40 Typical High $2.40 | Facility | None | $2.40 | $2.40 | $2.40 |
Martin's Point Setting Professional Modifier None Typical Low $2.40 Median $3.02 Typical High $3.02 | Professional | None | $2.40 | $3.02 | $3.02 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.36 Median $0.45 Typical High $0.45 | Professional | 55 · Aftercare only | $0.36 | $0.45 | $0.45 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.24 Median $0.30 Typical High $0.30 | Professional | 56 · Pre-op care only | $0.24 | $0.30 | $0.30 |
Oscar Health Setting Professional Modifier None Typical Low $2.51 Median $5.13 Typical High $7.59 | Professional | None | $2.51 | $5.13 | $7.59 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.55 Median $15.85 Typical High $27.54 | Facility | None | $3.55 | $15.85 | $27.54 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $4.68 | Professional | None | $3.55 | $3.55 | $4.68 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.45 Typical High $4.07 | Professional | None | $1.91 | $2.45 | $4.07 |
Where Pennsylvania sits
The same service costs 2.1 times more in Montana than in Colorado. 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
$3.02
MT $5.25CO $2.51
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.