How much rates vary
Facilitymedian $4 · 10th to 90th $3 to $7Professionalmedian $3 · 10th to 90th $3 to $5
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 $2.95 Median $4.47 Typical High $10.72 | Facility | None | $2.95 | $4.47 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $4.47 | Professional | None | $2.95 | $2.95 | $4.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.48 Median $1.48 Typical High $1.48 | Professional | 52 · Reduced service | $1.48 | $1.48 | $1.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.59 Median $0.59 Typical High $0.59 | Professional | 53 · Discontinued | $0.59 | $0.59 | $0.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.44 Median $0.44 Typical High $0.44 | Professional | 55 · Aftercare only | $0.44 | $0.44 | $0.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.30 Typical High $0.30 | Professional | 56 · Pre-op care only | $0.28 | $0.30 | $0.30 |
AmeriHealth Setting Facility Modifier None Typical Low $3.89 Median $4.17 Typical High $4.57 | Facility | None | $3.89 | $4.17 | $4.57 |
AmeriHealth Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | None | $4.07 | $4.07 | $4.07 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2.75 Median $3.16 Typical High $3.80 | Facility | None | $2.75 | $3.16 | $3.80 |
Capital Blue Cross Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
Geisinger Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Facility | None | $2.95 | $2.95 | $2.95 |
Geisinger Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $5.25 | Professional | None | $4.37 | $4.37 | $5.25 |
Highmark BCBS Setting Facility Modifier None Typical Low $6.61 Median $18.62 Typical High $28.18 | Facility | None | $6.61 | $18.62 | $28.18 |
Independence Blue Cross Setting Facility Modifier None Typical Low $3.89 Median $4.17 Typical High $4.90 | Facility | None | $3.89 | $4.17 | $4.90 |
Independence Blue Cross Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | None | $4.07 | $4.07 | $4.07 |
Martin's Point Setting Facility Modifier None Typical Low $2.95 Median $4.47 Typical High $10.23 | Facility | None | $2.95 | $4.47 | $10.23 |
Martin's Point Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $4.47 | Professional | None | $2.95 | $2.95 | $4.47 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.48 Median $1.48 Typical High $1.48 | Professional | 52 · Reduced service | $1.48 | $1.48 | $1.48 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.59 Median $0.59 Typical High $0.59 | Professional | 53 · Discontinued | $0.59 | $0.59 | $0.59 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.44 Median $0.44 Typical High $0.44 | Professional | 55 · Aftercare only | $0.44 | $0.44 | $0.44 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.30 Typical High $0.30 | Professional | 56 · Pre-op care only | $0.28 | $0.30 | $0.30 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.39 Median $3.39 Typical High $4.17 | Facility | None | $3.39 | $3.39 | $4.17 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $4.17 | Professional | None | $3.63 | $3.63 | $4.17 |
United Setting Professional Modifier None Typical Low $3.63 Median $3.89 Typical High $6.61 | Professional | None | $3.63 | $3.89 | $6.61 |
Where Pennsylvania sits
The same service costs 2.8 times more in Wyoming than in Florida. 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
$3.63
WY $8.13FL $2.95
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.