How much rates vary
Facilitymedian $63 · 10th to 90th $10 to $209Professionalmedian $19 · 10th to 90th $10 to $40
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 $10.00 Median $41.69 Typical High $100.00 | Facility | None | $10.00 | $41.69 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $41.69 | Professional | None | $10.00 | $10.00 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 52 · Reduced service | $5.01 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | 53 · Discontinued | $2.00 | $2.00 | $2.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | 55 · Aftercare only | $1.51 | $1.51 | $1.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | 56 · Pre-op care only | $1.00 | $1.00 | $1.00 |
Ambetter Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
AmeriHealth Setting Facility Modifier None Typical Low $51.29 Median $1,584.89 Typical High $2,137.96 | Facility | None | $51.29 | $1,584.89 | $2,137.96 |
AmeriHealth Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $36.31 | Professional | None | $32.36 | $32.36 | $36.31 |
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 $32.36 Median $32.36 Typical High $37.15 | Professional | None | $32.36 | $32.36 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Geisinger Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $20.42 | Facility | None | $19.95 | $19.95 | $20.42 |
Geisinger Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $23.44 Median $104.71 Typical High $194.98 | Facility | None | $23.44 | $104.71 | $194.98 |
Independence Blue Cross Setting Facility Modifier None Typical Low $47.86 Median $63.10 Typical High $2,041.74 | Facility | None | $47.86 | $63.10 | $2,041.74 |
Independence Blue Cross Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Martin's Point Setting Facility Modifier None Typical Low $10.00 Median $46.77 Typical High $100.00 | Facility | None | $10.00 | $46.77 | $100.00 |
Martin's Point Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $40.74 | Professional | None | $10.00 | $10.00 | $40.74 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 52 · Reduced service | $5.01 | $5.01 | $5.01 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | 53 · Discontinued | $2.00 | $2.00 | $2.00 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | 55 · Aftercare only | $1.51 | $1.51 | $1.51 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | 56 · Pre-op care only | $1.00 | $1.00 | $1.00 |
Oscar Health Setting Facility Modifier None Typical Low $154.88 Median $251.19 Typical High $263.03 | Facility | None | $154.88 | $251.19 | $263.03 |
UPMC Health Plan Setting Facility Modifier None Typical Low $20.89 Median $34.67 Typical High $58.88 | Facility | None | $20.89 | $34.67 | $58.88 |
UPMC Health Plan Setting Professional Modifier None Typical Low $20.89 Median $30.20 Typical High $30.20 | Professional | None | $20.89 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $64.57 Median $138.04 Typical High $158.49 | Facility | None | $64.57 | $138.04 | $158.49 |
United Setting Professional Modifier None Typical Low $13.80 Median $18.62 Typical High $36.31 | Professional | None | $13.80 | $18.62 | $36.31 |
Where Pennsylvania sits
The same service costs 4.6 times more in Alabama than in Missouri. 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· 19th of 51
$29.51
AL $56.23MO $12.30
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.