How much rates vary
Facilitymedian $3 · 10th to 90th $3 to $10Professionalmedian $3 · 10th to 90th $3 to $3
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 $2.82 Median $4.37 Typical High $6.92 | Facility | None | $2.82 | $4.37 | $6.92 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.41 Median $1.45 Typical High $1.45 | Professional | 52 · Reduced service | $1.41 | $1.45 | $1.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.56 Typical High $0.56 | Professional | 53 · Discontinued | $0.56 | $0.56 | $0.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.42 Median $0.43 Typical High $0.43 | Professional | 55 · Aftercare only | $0.42 | $0.43 | $0.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.28 | $0.28 | $0.28 |
AmeriHealth Setting Facility Modifier None Typical Low $3.09 Median $3.09 Typical High $3.55 | Facility | None | $3.09 | $3.09 | $3.55 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2.69 Median $3.09 Typical High $3.63 | Facility | None | $2.69 | $3.09 | $3.63 |
Capital Blue Cross Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $4.68 Typical High $10.72 | Facility | None | $2.82 | $4.68 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
Geisinger Setting Facility Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Facility | None | $2.82 | $2.82 | $2.82 |
Geisinger Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $5.13 | Professional | None | $4.27 | $4.27 | $5.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $6.46 Median $11.22 Typical High $22.39 | Facility | None | $6.46 | $11.22 | $22.39 |
Independence Blue Cross Setting Facility Modifier None Typical Low $3.09 Median $3.24 Typical High $3.72 | Facility | None | $3.09 | $3.24 | $3.72 |
Martin's Point Setting Facility Modifier None Typical Low $2.82 Median $4.37 Typical High $21.88 | Facility | None | $2.82 | $4.37 | $21.88 |
Martin's Point Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.41 Median $1.45 Typical High $1.45 | Professional | 52 · Reduced service | $1.41 | $1.45 | $1.45 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.56 Typical High $0.56 | Professional | 53 · Discontinued | $0.56 | $0.56 | $0.56 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.42 Median $0.43 Typical High $0.43 | Professional | 55 · Aftercare only | $0.42 | $0.43 | $0.43 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.28 | $0.28 | $0.28 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1.32 Median $3.24 Typical High $3.47 | Facility | None | $1.32 | $3.24 | $3.47 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $1.51 | Professional | None | $1.32 | $1.32 | $1.51 |
United Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $5.37 | Professional | None | $2.95 | $2.95 | $5.37 |
Where Pennsylvania sits
The same service costs 7.4 times more in Wyoming than in Kansas. 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· 23rd of 51
$2.95
WY $20.42KS $2.75
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.