How much rates vary
Facilitymedian $20 · 10th to 90th $13 to $37Professionalmedian $19 · 10th to 90th $12 to $21
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 $17.38 Median $21.88 Typical High $35.48 | Facility | None | $17.38 | $21.88 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $20.89 | Professional | None | $19.05 | $19.05 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | 52 · Reduced service | $9.55 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | 53 · Discontinued | $3.80 | $3.80 | $3.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $2.88 Typical High $2.88 | Professional | 55 · Aftercare only | $2.82 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | 56 · Pre-op care only | $1.91 | $1.91 | $1.91 |
AmeriHealth Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $23.44 | Facility | None | $20.42 | $20.42 | $23.44 |
Capital Blue Cross Setting Facility Modifier None Typical Low $17.78 Median $20.42 Typical High $24.55 | Facility | None | $17.78 | $20.42 | $24.55 |
Capital Blue Cross Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $31.62 Typical High $72.44 | Facility | None | $19.05 | $31.62 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Geisinger Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Geisinger Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $33.88 | Professional | None | $28.18 | $28.18 | $33.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $1.91 Median $28.18 Typical High $100.00 | Facility | None | $1.91 | $28.18 | $100.00 |
Independence Blue Cross Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $15.14 | Facility | None | $13.18 | $13.18 | $15.14 |
Martin's Point Setting Facility Modifier None Typical Low $17.38 Median $26.30 Typical High $35.48 | Facility | None | $17.38 | $26.30 | $35.48 |
Martin's Point Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $20.89 | Professional | None | $19.05 | $19.05 | $20.89 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | 52 · Reduced service | $9.55 | $9.55 | $9.55 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | 53 · Discontinued | $3.80 | $3.80 | $3.80 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $2.88 Typical High $2.88 | Professional | 55 · Aftercare only | $2.82 | $2.88 | $2.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | 56 · Pre-op care only | $1.91 | $1.91 | $1.91 |
UPMC Health Plan Setting Facility Modifier None Typical Low $9.12 Median $21.88 Typical High $23.44 | Facility | None | $9.12 | $21.88 | $23.44 |
UPMC Health Plan Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $10.47 | Professional | None | $9.12 | $9.12 | $10.47 |
United Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $21.88 | Professional | None | $12.02 | $12.02 | $21.88 |
Where Pennsylvania sits
The same service costs 2.7 times more in Wyoming than in Maryland. 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· 35th of 51
$19.05
WY $32.36MD $12.02
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.