How much rates vary
Facilitymedian $25 · 10th to 90th $21 to $59Professionalmedian $23 · 10th to 90th $22 to $29
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 $20.42 Median $25.12 Typical High $58.88 | Facility | None | $20.42 | $25.12 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $23.44 Typical High $28.84 | Professional | None | $22.91 | $23.44 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $11.48 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.68 Typical High $4.68 | Professional | 53 · Discontinued | $4.57 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | 55 · Aftercare only | $3.47 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $2.34 Typical High $2.34 | Professional | 56 · Pre-op care only | $2.29 | $2.34 | $2.34 |
AmeriHealth Setting Facility Modifier None Typical Low $23.99 Median $25.12 Typical High $28.84 | Facility | None | $23.99 | $25.12 | $28.84 |
Capital Blue Cross Setting Facility Modifier None Typical Low $21.88 Median $25.12 Typical High $29.51 | Facility | None | $21.88 | $25.12 | $29.51 |
Capital Blue Cross Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $38.90 Typical High $89.13 | Facility | None | $22.91 | $38.90 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Geisinger Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Geisinger Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $41.69 | Professional | None | $34.67 | $34.67 | $41.69 |
Highmark BCBS Setting Facility Modifier None Typical Low $12.88 Median $30.90 Typical High $109.65 | Facility | None | $12.88 | $30.90 | $109.65 |
Independence Blue Cross Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $27.54 | Facility | None | $23.99 | $23.99 | $27.54 |
Martin's Point Setting Facility Modifier None Typical Low $20.42 Median $26.92 Typical High $58.88 | Facility | None | $20.42 | $26.92 | $58.88 |
Martin's Point Setting Professional Modifier None Typical Low $22.91 Median $23.44 Typical High $33.88 | Professional | None | $22.91 | $23.44 | $33.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $11.48 | $11.75 | $11.75 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.68 Typical High $4.68 | Professional | 53 · Discontinued | $4.57 | $4.68 | $4.68 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | 55 · Aftercare only | $3.47 | $3.47 | $3.47 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $2.34 Typical High $2.34 | Professional | 56 · Pre-op care only | $2.29 | $2.34 | $2.34 |
UPMC Health Plan Setting Facility Modifier None Typical Low $17.78 Median $26.92 Typical High $26.92 | Facility | None | $17.78 | $26.92 | $26.92 |
UPMC Health Plan Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $20.89 | Professional | None | $17.78 | $17.78 | $20.89 |
United Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $30.90 | Professional | None | $22.39 | $22.39 | $30.90 |
Where Pennsylvania sits
The same service costs 2.0 times more in Minnesota than in Hawaii. 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· 18th of 51
$23.44
MN $39.81HI $19.95
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.