How much rates vary
Facilitymedian $8 · 10th to 90th $3 to $30Professionalmedian $8 · 10th to 90th $4 to $9
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 $5.37 Median $8.13 Typical High $40.74 | Facility | None | $5.37 | $8.13 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $8.13 Typical High $10.00 | Professional | None | $6.76 | $8.13 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 52 · Reduced service | $4.07 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | 53 · Discontinued | $1.62 | $1.62 | $1.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.20 Median $1.23 Typical High $1.23 | Professional | 55 · Aftercare only | $1.20 | $1.23 | $1.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.81 Median $0.81 Typical High $0.81 | Professional | 56 · Pre-op care only | $0.81 | $0.81 | $0.81 |
AmeriHealth Setting Facility Modifier None Typical Low $3.31 Median $3.31 Typical High $9.55 | Facility | None | $3.31 | $3.31 | $9.55 |
Capital Blue Cross Setting Facility Modifier None Typical Low $7.59 Median $8.71 Typical High $10.47 | Facility | None | $7.59 | $8.71 | $10.47 |
Capital Blue Cross Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | None | $8.32 | $8.32 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $13.49 Typical High $30.90 | Facility | None | $8.13 | $13.49 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Geisinger Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Geisinger Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $14.45 | Professional | None | $12.02 | $12.02 | $14.45 |
Highmark BCBS Setting Facility Modifier None Typical Low $4.37 Median $8.13 Typical High $30.20 | Facility | None | $4.37 | $8.13 | $30.20 |
Independence Blue Cross Setting Facility Modifier None Typical Low $2.69 Median $3.31 Typical High $5.37 | Facility | None | $2.69 | $3.31 | $5.37 |
Martin's Point Setting Facility Modifier None Typical Low $6.61 Median $8.13 Typical High $40.74 | Facility | None | $6.61 | $8.13 | $40.74 |
Martin's Point Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $9.33 | Professional | None | $8.13 | $8.13 | $9.33 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 52 · Reduced service | $4.07 | $4.07 | $4.07 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | 53 · Discontinued | $1.62 | $1.62 | $1.62 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.20 Median $1.23 Typical High $1.23 | Professional | 55 · Aftercare only | $1.20 | $1.23 | $1.23 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.81 Median $0.81 Typical High $0.81 | Professional | 56 · Pre-op care only | $0.81 | $0.81 | $0.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2.45 Median $9.33 Typical High $9.33 | Facility | None | $2.45 | $9.33 | $9.33 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.88 | Professional | None | $2.45 | $2.45 | $2.88 |
United Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $8.13 | Professional | None | $4.47 | $4.47 | $8.13 |
Where Pennsylvania sits
The same service costs 10.7 times more in Minnesota than in Oklahoma. 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· 30th of 51
$8.13
MN $28.18OK $2.63
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.