How much rates vary
Facilitymedian $3 · 10th to 90th $2 to $6Professionalmedian $2 · 10th to 90th $2 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 $2.19 Median $3.09 Typical High $5.75 | Facility | None | $2.19 | $3.09 | $5.75 |
Aetna Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.40 | Professional | None | $2.19 | $2.19 | $2.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.10 Median $1.12 Typical High $1.12 | Professional | 52 · Reduced service | $1.10 | $1.12 | $1.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.44 Median $0.44 Typical High $0.44 | Professional | 53 · Discontinued | $0.44 | $0.44 | $0.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.33 Median $0.33 Typical High $0.33 | Professional | 55 · Aftercare only | $0.33 | $0.33 | $0.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.22 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.22 | $0.22 | $0.22 |
AmeriHealth Setting Facility Modifier None Typical Low $2.34 Median $2.34 Typical High $2.75 | Facility | None | $2.34 | $2.34 | $2.75 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2.04 Median $2.34 Typical High $2.82 | Facility | None | $2.04 | $2.34 | $2.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | None | $2.29 | $2.29 | $2.29 |
Cigna Setting Facility Modifier None Typical Low $2.19 Median $3.63 Typical High $8.32 | Facility | None | $2.19 | $3.63 | $8.32 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | None | $2.19 | $2.19 | $2.19 |
Geisinger Setting Facility Modifier None Typical Low $2.19 Median $2.19 Typical High $2.19 | Facility | None | $2.19 | $2.19 | $2.19 |
Geisinger Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.98 | Professional | None | $3.31 | $3.31 | $3.98 |
Highmark BCBS Setting Facility Modifier None Typical Low $8.91 Median $9.77 Typical High $16.60 | Facility | None | $8.91 | $9.77 | $16.60 |
Independence Blue Cross Setting Facility Modifier None Typical Low $2.19 Median $2.19 Typical High $2.51 | Facility | None | $2.19 | $2.19 | $2.51 |
Martin's Point Setting Facility Modifier None Typical Low $2.19 Median $3.09 Typical High $5.75 | Facility | None | $2.19 | $3.09 | $5.75 |
Martin's Point Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.40 | Professional | None | $2.19 | $2.19 | $2.40 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.10 Median $1.12 Typical High $1.12 | Professional | 52 · Reduced service | $1.10 | $1.12 | $1.12 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.44 Median $0.44 Typical High $0.44 | Professional | 53 · Discontinued | $0.44 | $0.44 | $0.44 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.33 Median $0.33 Typical High $0.33 | Professional | 55 · Aftercare only | $0.33 | $0.33 | $0.33 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.22 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.22 | $0.22 | $0.22 |
UPMC Health Plan Setting Facility Modifier None Typical Low $2.51 Median $2.51 Typical High $3.16 | Facility | None | $2.51 | $2.51 | $3.16 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $3.16 | Professional | None | $2.69 | $2.69 | $3.16 |
United Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $3.72 | Professional | None | $2.04 | $2.04 | $3.72 |
Where Pennsylvania sits
Rates are fairly even across states for this service. 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
$2.19
AK $3.02TX $2.04
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.