How much rates vary
Facilitymedian $4 · 10th to 90th $4 to $10Professionalmedian $4 · 10th to 90th $4 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 $3.63 Median $4.47 Typical High $10.47 | Facility | None | $3.63 | $4.47 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $3.63 Median $3.72 Typical High $5.37 | Professional | None | $3.63 | $3.72 | $5.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | 52 · Reduced service | $1.82 | $1.82 | $1.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $0.74 Typical High $0.74 | Professional | 53 · Discontinued | $0.72 | $0.74 | $0.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.55 Median $0.55 Typical High $0.55 | Professional | 55 · Aftercare only | $0.55 | $0.55 | $0.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.36 Median $0.37 Typical High $0.37 | Professional | 56 · Pre-op care only | $0.36 | $0.37 | $0.37 |
AmeriHealth Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $4.57 | Facility | None | $3.98 | $3.98 | $4.57 |
Capital Blue Cross Setting Facility Modifier None Typical Low $3.47 Median $3.98 Typical High $4.68 | Facility | None | $3.47 | $3.98 | $4.68 |
Capital Blue Cross Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
Cigna Setting Facility Modifier None Typical Low $3.63 Median $6.03 Typical High $13.80 | Facility | None | $3.63 | $6.03 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | None | $3.63 | $3.63 | $3.63 |
Geisinger Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Facility | None | $3.63 | $3.63 | $3.63 |
Geisinger Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $6.61 | Professional | None | $5.50 | $5.50 | $6.61 |
Highmark BCBS Setting Facility Modifier None Typical Low $1.38 Median $4.27 Typical High $14.79 | Facility | None | $1.38 | $4.27 | $14.79 |
Independence Blue Cross Setting Facility Modifier None Typical Low $3.63 Median $3.98 Typical High $4.27 | Facility | None | $3.63 | $3.98 | $4.27 |
Martin's Point Setting Facility Modifier None Typical Low $3.63 Median $5.13 Typical High $10.47 | Facility | None | $3.63 | $5.13 | $10.47 |
Martin's Point Setting Professional Modifier None Typical Low $3.63 Median $3.72 Typical High $5.37 | Professional | None | $3.63 | $3.72 | $5.37 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | 52 · Reduced service | $1.82 | $1.82 | $1.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $0.74 Typical High $0.74 | Professional | 53 · Discontinued | $0.72 | $0.74 | $0.74 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.55 Median $0.55 Typical High $0.55 | Professional | 55 · Aftercare only | $0.55 | $0.55 | $0.55 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.36 Median $0.37 Typical High $0.37 | Professional | 56 · Pre-op care only | $0.36 | $0.37 | $0.37 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.24 Median $4.27 Typical High $4.47 | Facility | None | $3.24 | $4.27 | $4.47 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.72 | Professional | None | $3.24 | $3.24 | $3.72 |
United Setting Professional Modifier None Typical Low $3.31 Median $3.63 Typical High $5.37 | Professional | None | $3.31 | $3.63 | $5.37 |
Where Pennsylvania sits
The same service costs 2.5 times more in Alaska 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· 24th of 51
$3.72
AK $6.46OK $2.57
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.