How much rates vary
Facilitymedian $10 · 10th to 90th $9 to $32Professionalmedian $9 · 10th to 90th $9 to $17
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 $8.51 Median $14.13 Typical High $48.98 | Facility | None | $8.51 | $14.13 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $8.71 Typical High $8.71 | Professional | None | $8.51 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | 52 · Reduced service | $4.27 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.74 Typical High $1.74 | Professional | 53 · Discontinued | $1.70 | $1.74 | $1.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.29 Median $1.29 Typical High $1.29 | Professional | 55 · Aftercare only | $1.29 | $1.29 | $1.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | 56 · Pre-op care only | $0.85 | $0.85 | $0.85 |
AmeriHealth Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $10.72 | Facility | None | $9.33 | $9.33 | $10.72 |
Capital Blue Cross Setting Facility Modifier None Typical Low $8.13 Median $9.33 Typical High $10.96 | Facility | None | $8.13 | $9.33 | $10.96 |
Capital Blue Cross Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $14.13 Typical High $32.36 | Facility | None | $8.51 | $14.13 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Geisinger Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Facility | None | $8.51 | $8.51 | $8.51 |
Geisinger Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $15.49 | Professional | None | $12.88 | $12.88 | $15.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $10.72 Median $29.51 Typical High $42.66 | Facility | None | $10.72 | $29.51 | $42.66 |
Independence Blue Cross Setting Facility Modifier None Typical Low $10.23 Median $11.22 Typical High $12.30 | Facility | None | $10.23 | $11.22 | $12.30 |
Martin's Point Setting Facility Modifier None Typical Low $8.51 Median $14.13 Typical High $33.88 | Facility | None | $8.51 | $14.13 | $33.88 |
Martin's Point Setting Professional Modifier None Typical Low $8.51 Median $8.71 Typical High $8.71 | Professional | None | $8.51 | $8.71 | $8.71 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | 52 · Reduced service | $4.27 | $4.27 | $4.27 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.74 Typical High $1.74 | Professional | 53 · Discontinued | $1.70 | $1.74 | $1.74 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.29 Median $1.29 Typical High $1.29 | Professional | 55 · Aftercare only | $1.29 | $1.29 | $1.29 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | 56 · Pre-op care only | $0.85 | $0.85 | $0.85 |
UPMC Health Plan Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $28.18 | Facility | None | $10.00 | $10.00 | $28.18 |
UPMC Health Plan Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $28.18 | Professional | None | $23.99 | $23.99 | $28.18 |
United Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $16.98 | Professional | None | $9.33 | $9.33 | $16.98 |
Where Pennsylvania sits
The same service costs 6.5 times more in Oklahoma than in Alabama. 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
$9.33
OK $54.95AL $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.