How much rates vary
Facilitymedian $8 · 10th to 90th $7 to $25Professionalmedian $7 · 10th to 90th $7 to $13
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 $6.76 Median $10.47 Typical High $56.23 | Facility | None | $6.76 | $10.47 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $7.59 | Professional | None | $6.76 | $6.76 | $7.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | 52 · Reduced service | $3.39 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.35 Typical High $1.35 | Professional | 53 · Discontinued | $1.35 | $1.35 | $1.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.00 Median $1.02 Typical High $1.02 | Professional | 55 · Aftercare only | $1.00 | $1.02 | $1.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | 56 · Pre-op care only | $0.68 | $0.68 | $0.68 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
AmeriHealth Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $8.51 | Facility | None | $7.41 | $7.41 | $8.51 |
Capital Blue Cross Setting Facility Modifier None Typical Low $6.46 Median $7.24 Typical High $8.71 | Facility | None | $6.46 | $7.24 | $8.71 |
Capital Blue Cross Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $6.76 Median $11.22 Typical High $25.70 | Facility | None | $6.76 | $11.22 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Geisinger Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Facility | None | $6.76 | $6.76 | $6.76 |
Geisinger Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $12.02 | Professional | None | $10.23 | $10.23 | $12.02 |
Highmark BCBS Setting Facility Modifier None Typical Low $33.11 Median $48.98 Typical High $64.57 | Facility | None | $33.11 | $48.98 | $64.57 |
Independence Blue Cross Setting Facility Modifier None Typical Low $7.76 Median $8.71 Typical High $10.00 | Facility | None | $7.76 | $8.71 | $10.00 |
Martin's Point Setting Facility Modifier None Typical Low $6.76 Median $10.47 Typical High $23.99 | Facility | None | $6.76 | $10.47 | $23.99 |
Martin's Point Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $7.59 | Professional | None | $6.76 | $6.76 | $7.59 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | 52 · Reduced service | $3.39 | $3.39 | $3.39 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.35 Typical High $1.35 | Professional | 53 · Discontinued | $1.35 | $1.35 | $1.35 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.00 Median $1.02 Typical High $1.02 | Professional | 55 · Aftercare only | $1.00 | $1.02 | $1.02 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | 56 · Pre-op care only | $0.68 | $0.68 | $0.68 |
UPMC Health Plan Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $17.78 | Facility | None | $7.76 | $7.76 | $17.78 |
UPMC Health Plan Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $17.78 | Professional | None | $15.49 | $15.49 | $17.78 |
United Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $13.18 | Professional | None | $7.24 | $7.24 | $13.18 |
Where Pennsylvania sits
The same service costs 6.0 times more in Wyoming than in Georgia. 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· 33rd of 51
$7.41
WY $40.74GA $6.76
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.