How much rates vary
Facilitymedian $6 · 10th to 90th $4 to $39Professionalmedian $4 · 10th to 90th $4 to $6
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 $4.47 Median $6.92 Typical High $16.98 | Facility | None | $4.47 | $6.92 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $4.57 Typical High $4.68 | Professional | None | $4.47 | $4.57 | $4.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.24 Median $2.29 Typical High $2.29 | Professional | 52 · Reduced service | $2.24 | $2.29 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $0.91 Typical High $0.91 | Professional | 53 · Discontinued | $0.89 | $0.91 | $0.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | 55 · Aftercare only | $0.68 | $0.68 | $0.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.45 Median $0.46 Typical High $0.46 | Professional | 56 · Pre-op care only | $0.45 | $0.46 | $0.46 |
AmeriHealth Setting Facility Modifier None Typical Low $4.90 Median $489.78 Typical High $1,047.13 | Facility | None | $4.90 | $489.78 | $1,047.13 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4.37 Median $4.90 Typical High $5,011.87 | Facility | None | $4.37 | $4.90 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | None | $4.68 | $4.68 | $4.68 |
Cigna Setting Facility Modifier None Typical Low $4.47 Median $7.59 Typical High $17.38 | Facility | None | $4.47 | $7.59 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
Geisinger Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Facility | None | $4.47 | $4.47 | $4.47 |
Geisinger Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $8.13 | Professional | None | $6.76 | $6.76 | $8.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $14.45 Median $21.88 Typical High $77.62 | Facility | None | $14.45 | $21.88 | $77.62 |
Independence Blue Cross Setting Facility Modifier None Typical Low $4.57 Median $489.78 Typical High $1,047.13 | Facility | None | $4.57 | $489.78 | $1,047.13 |
Martin's Point Setting Facility Modifier None Typical Low $4.47 Median $6.92 Typical High $38.90 | Facility | None | $4.47 | $6.92 | $38.90 |
Martin's Point Setting Professional Modifier None Typical Low $4.47 Median $4.57 Typical High $4.57 | Professional | None | $4.47 | $4.57 | $4.57 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $2.24 Median $2.29 Typical High $2.29 | Professional | 52 · Reduced service | $2.24 | $2.29 | $2.29 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $0.91 Typical High $0.91 | Professional | 53 · Discontinued | $0.89 | $0.91 | $0.91 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | 55 · Aftercare only | $0.68 | $0.68 | $0.68 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.45 Median $0.46 Typical High $0.46 | Professional | 56 · Pre-op care only | $0.45 | $0.46 | $0.46 |
UPMC Health Plan Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $7.24 | Facility | None | $5.25 | $5.25 | $7.24 |
UPMC Health Plan Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $7.24 | Professional | None | $6.17 | $6.17 | $7.24 |
United Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $7.76 | Professional | None | $4.17 | $4.17 | $7.76 |
Where Pennsylvania sits
The same service costs 7.9 times more in Oklahoma 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· 37th of 51
$4.57
OK $33.11MD $4.17
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.