How much rates vary
Facilitymedian $3 · 10th to 90th $3 to $32Professionalmedian $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 $2.29 Median $2.29 Typical High $2.88 | Facility | None | $2.29 | $2.29 | $2.88 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $2.88 Typical High $2.88 | Professional | None | $2.29 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.15 Median $1.45 Typical High $1.45 | Professional | 52 · Reduced service | $1.15 | $1.45 | $1.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.46 Median $0.58 Typical High $0.58 | Professional | 53 · Discontinued | $0.46 | $0.58 | $0.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.35 Median $0.44 Typical High $0.44 | Professional | 55 · Aftercare only | $0.35 | $0.44 | $0.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.23 Median $0.28 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.23 | $0.28 | $0.28 |
AmeriHealth Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
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 $3.80 Median $4.79 Typical High $4.79 | Professional | None | $3.80 | $4.79 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $2.69 Median $2.82 Typical High $2.82 | Facility | None | $2.69 | $2.82 | $2.82 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $23.44 | Professional | None | $2.40 | $2.40 | $23.44 |
Emblem Health Setting Professional Modifier None Typical Low $4.47 Median $6.92 Typical High $8.13 | Professional | None | $4.47 | $6.92 | $8.13 |
Geisinger Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Facility | None | $4.79 | $4.79 | $4.79 |
Geisinger Setting Professional Modifier None Typical Low $2.88 Median $3.39 Typical High $4.79 | Professional | None | $2.88 | $3.39 | $4.79 |
Highmark BCBS Setting Professional Modifier None Typical Low $3.31 Median $3.39 Typical High $4.79 | Professional | None | $3.31 | $3.39 | $4.79 |
Independence Blue Cross Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
Martin's Point Setting Facility Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Facility | None | $2.29 | $2.29 | $2.29 |
Martin's Point Setting Professional Modifier None Typical Low $2.29 Median $2.88 Typical High $2.88 | Professional | None | $2.29 | $2.88 | $2.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.15 Median $1.45 Typical High $1.45 | Professional | 52 · Reduced service | $1.15 | $1.45 | $1.45 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.46 Median $0.58 Typical High $0.58 | Professional | 53 · Discontinued | $0.46 | $0.58 | $0.58 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.35 Median $0.44 Typical High $0.44 | Professional | 55 · Aftercare only | $0.35 | $0.44 | $0.44 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.23 Median $0.28 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.23 | $0.28 | $0.28 |
Oscar Health Setting Professional Modifier None Typical Low $4.79 Median $6.76 Typical High $7.24 | Professional | None | $4.79 | $6.76 | $7.24 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.39 Median $15.49 Typical High $26.30 | Facility | None | $3.39 | $15.49 | $26.30 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $4.47 | Professional | None | $3.39 | $3.39 | $4.47 |
United Setting Professional Modifier None Typical Low $1.82 Median $2.34 Typical High $3.98 | Professional | None | $1.82 | $2.34 | $3.98 |
Where Pennsylvania sits
The same service costs 2.2 times more in Kansas 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· 39th of 51
$2.88
KS $5.25NJ $2.40
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.