How much rates vary
Facilitymedian $28 · 10th to 90th $13 to $324Professionalmedian $13 · 10th to 90th $13 to $23
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 $10.72 Median $13.80 Typical High $100.00 | Facility | None | $10.72 | $13.80 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $14.13 | Professional | None | $13.18 | $13.18 | $14.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 52 · Reduced service | $6.61 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | 53 · Discontinued | $2.63 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | 55 · Aftercare only | $2.00 | $2.00 | $2.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | 56 · Pre-op care only | $1.32 | $1.32 | $1.32 |
AmeriHealth Setting Facility Modifier None Typical Low $1,905.46 Median $2,454.71 Typical High $2,570.40 | Facility | None | $1,905.46 | $2,454.71 | $2,570.40 |
AmeriHealth Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
Capital Blue Cross Setting Facility Modifier None Typical Low $20.89 Median $23.44 Typical High $5,011.87 | Facility | None | $20.89 | $23.44 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $22.39 Typical High $50.12 | Facility | None | $13.18 | $22.39 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
Emblem Health Setting Professional Modifier None Typical Low $9.33 Median $10.96 Typical High $10.96 | Professional | None | $9.33 | $10.96 | $10.96 |
Geisinger Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $42.66 | Professional | None | $9.77 | $9.77 | $42.66 |
Highmark BCBS Setting Facility Modifier None Typical Low $11.22 Median $70.79 Typical High $331.13 | Facility | None | $11.22 | $70.79 | $331.13 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1,905.46 Median $2,454.71 Typical High $2,570.40 | Facility | None | $1,905.46 | $2,454.71 | $2,570.40 |
Independence Blue Cross Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
Martin's Point Setting Facility Modifier None Typical Low $10.72 Median $13.80 Typical High $100.00 | Facility | None | $10.72 | $13.80 | $100.00 |
Martin's Point Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 52 · Reduced service | $6.61 | $6.61 | $6.61 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | 53 · Discontinued | $2.63 | $2.63 | $2.63 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | 55 · Aftercare only | $2.00 | $2.00 | $2.00 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | 56 · Pre-op care only | $1.32 | $1.32 | $1.32 |
Oscar Health Setting Professional Modifier None Typical Low $83.18 Median $93.33 Typical High $112.20 | Professional | None | $83.18 | $93.33 | $112.20 |
UPMC Health Plan Setting Facility Modifier None Typical Low $14.79 Median $190.55 Typical High $316.23 | Facility | None | $14.79 | $190.55 | $316.23 |
UPMC Health Plan Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
United Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $17.78 | Professional | None | $12.88 | $12.88 | $17.78 |
Where Pennsylvania sits
The same service costs 11.0 times more in Kansas than in New York. 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
$13.18
KS $141NY $12.88
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.