How much rates vary
Facilitymedian $87 · 10th to 90th $17 to $955Professionalmedian $16 · 10th to 90th $14 to $28
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 $17.38 Median $19.05 Typical High $32.36 | Facility | None | $17.38 | $19.05 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $15.85 Typical High $17.38 | Professional | None | $14.13 | $15.85 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $7.76 Typical High $8.71 | Professional | 52 · Reduced service | $7.08 | $7.76 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.09 Typical High $3.47 | Professional | 53 · Discontinued | $2.82 | $3.09 | $3.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.09 Median $2.29 Typical High $2.63 | Professional | 55 · Aftercare only | $2.09 | $2.29 | $2.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.41 Median $1.55 Typical High $1.74 | Professional | 56 · Pre-op care only | $1.41 | $1.55 | $1.74 |
Ambetter Setting Professional Modifier None Typical Low $15.49 Median $19.50 Typical High $19.50 | Professional | None | $15.49 | $19.50 | $19.50 |
AmeriHealth Setting Facility Modifier None Typical Low $93.33 Median $158.49 Typical High $1,445.44 | Facility | None | $93.33 | $158.49 | $1,445.44 |
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 $15.49 Median $23.44 Typical High $27.54 | Professional | None | $15.49 | $23.44 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Emblem Health Setting Professional Modifier None Typical Low $19.05 Median $23.99 Typical High $32.36 | Professional | None | $19.05 | $23.99 | $32.36 |
Geisinger Setting Professional Modifier None Typical Low $15.49 Median $17.78 Typical High $30.20 | Professional | None | $15.49 | $17.78 | $30.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $22.91 Median $45.71 Typical High $89.13 | Facility | None | $22.91 | $45.71 | $89.13 |
Highmark BCBS Setting Professional Modifier None Typical Low $14.79 Median $16.22 Typical High $28.84 | Professional | None | $14.79 | $16.22 | $28.84 |
Independence Blue Cross Setting Facility Modifier None Typical Low $23.99 Median $154.88 Typical High $1,230.27 | Facility | None | $23.99 | $154.88 | $1,230.27 |
Martin's Point Setting Facility Modifier None Typical Low $17.38 Median $23.44 Typical High $35.48 | Facility | None | $17.38 | $23.44 | $35.48 |
Martin's Point Setting Professional Modifier None Typical Low $14.13 Median $15.85 Typical High $17.38 | Professional | None | $14.13 | $15.85 | $17.38 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $7.76 Typical High $8.71 | Professional | 52 · Reduced service | $7.08 | $7.76 | $8.71 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.09 Typical High $3.47 | Professional | 53 · Discontinued | $2.82 | $3.09 | $3.47 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2.09 Median $2.29 Typical High $2.63 | Professional | 55 · Aftercare only | $2.09 | $2.29 | $2.63 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.41 Median $1.55 Typical High $1.74 | Professional | 56 · Pre-op care only | $1.41 | $1.55 | $1.74 |
Oscar Health Setting Professional Modifier None Typical Low $30.20 Median $44.67 Typical High $48.98 | Professional | None | $30.20 | $44.67 | $48.98 |
UPMC Health Plan Setting Facility Modifier None Typical Low $15.14 Median $64.57 Typical High $125.89 | Facility | None | $15.14 | $64.57 | $125.89 |
UPMC Health Plan Setting Professional Modifier None Typical Low $15.14 Median $16.98 Typical High $36.31 | Professional | None | $15.14 | $16.98 | $36.31 |
United Setting Facility Modifier None Typical Low $15.85 Median $17.78 Typical High $17.78 | Facility | None | $15.85 | $17.78 | $17.78 |
United Setting Professional Modifier None Typical Low $11.48 Median $14.79 Typical High $21.88 | Professional | None | $11.48 | $14.79 | $21.88 |
Where Pennsylvania sits
The same service costs 2.8 times more in Alaska than in Louisiana. 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· 29th of 51
$16.22
AK $38.90LA $13.80
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.