How much rates vary
Facilitymedian $51 · 10th to 90th $17 to $200Professionalmedian $17 · 10th to 90th $10 to $36
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 $42.66 Typical High $102.33 | Facility | None | $10.00 | $42.66 | $102.33 |
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 $20.89 Median $20.89 Typical High $33.11 | Professional | None | $20.89 | $20.89 | $33.11 |
AmeriHealth Setting Facility Modifier None Typical Low $51.29 Median $186.21 Typical High $251.19 | Facility | None | $51.29 | $186.21 | $251.19 |
AmeriHealth Setting Professional Modifier None Typical Low $22.91 Median $32.36 Typical High $33.88 | Professional | None | $22.91 | $32.36 | $33.88 |
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 $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
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 $19.95 Median $91.20 Typical High $213.80 | Facility | None | $19.95 | $91.20 | $213.80 |
Independence Blue Cross Setting Facility Modifier None Typical Low $47.86 Median $64.57 Typical High $245.47 | Facility | None | $47.86 | $64.57 | $245.47 |
Independence Blue Cross Setting Professional Modifier None Typical Low $22.91 Median $32.36 Typical High $32.36 | Professional | None | $22.91 | $32.36 | $32.36 |
Martin's Point Setting Facility Modifier None Typical Low $10.00 Median $46.77 Typical High $102.33 | Facility | None | $10.00 | $46.77 | $102.33 |
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 $190.55 Median $190.55 Typical High $199.53 | Facility | None | $190.55 | $190.55 | $199.53 |
UPMC Health Plan Setting Facility Modifier None Typical Low $16.60 Median $34.67 Typical High $58.88 | Facility | None | $16.60 | $34.67 | $58.88 |
UPMC Health Plan Setting Professional Modifier None Typical Low $16.60 Median $30.20 Typical High $30.20 | Professional | None | $16.60 | $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 6.6 times more in Alabama than in Kansas. 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
$20.89
AL $56.23KS $8.51
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.