How much rates vary
Facilitymedian $447 · 10th to 90th $3 to $9,772Professionalmedian $3 · 10th to 90th $3 to $3
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 $3.47 Median $3.47 Typical High $1,584.89 | Facility | None | $3.47 | $3.47 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | 52 · Reduced service | $1.74 | $1.74 | $1.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.69 Typical High $0.69 | Professional | 53 · Discontinued | $0.69 | $0.69 | $0.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | 55 · Aftercare only | $0.52 | $0.52 | $0.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.35 Median $0.35 Typical High $0.35 | Professional | 56 · Pre-op care only | $0.35 | $0.35 | $0.35 |
AmeriHealth Setting Facility Modifier None Typical Low $6,165.95 Median $9,772.37 Typical High $16,982.44 | Facility | None | $6,165.95 | $9,772.37 | $16,982.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $302.00 Median $501.19 Typical High $524.81 | Facility | None | $302.00 | $501.19 | $524.81 |
Independence Blue Cross Setting Facility Modifier None Typical Low $6,165.95 Median $7,943.28 Typical High $16,982.44 | Facility | None | $6,165.95 | $7,943.28 | $16,982.44 |
Martin's Point Setting Facility Modifier None Typical Low $3.47 Median $3.47 Typical High $1,584.89 | Facility | None | $3.47 | $3.47 | $1,584.89 |
Martin's Point Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | 52 · Reduced service | $1.74 | $1.74 | $1.74 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.69 Typical High $0.69 | Professional | 53 · Discontinued | $0.69 | $0.69 | $0.69 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | 55 · Aftercare only | $0.52 | $0.52 | $0.52 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.35 Median $0.35 Typical High $0.35 | Professional | 56 · Pre-op care only | $0.35 | $0.35 | $0.35 |
UPMC Health Plan Setting Facility Modifier None Typical Low $269.15 Median $363.08 Typical High $602.56 | Facility | None | $269.15 | $363.08 | $602.56 |
Where Pennsylvania sits
The same service costs 446.7 times more in Connecticut than in Idaho. 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· 35th of 51
$3.47
CT $1,549ID $3.47
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.