How much rates vary
Facilitymedian $2 · 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 $1.58 Median $2.45 Typical High $5.25 | Facility | None | $1.58 | $2.45 | $5.25 |
Aetna Setting Professional Modifier None Typical Low $1.58 Median $1.62 Typical High $2.45 | Professional | None | $1.58 | $1.62 | $2.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.79 Median $0.81 Typical High $0.81 | Professional | 52 · Reduced service | $0.79 | $0.81 | $0.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.32 Median $0.32 Typical High $0.32 | Professional | 53 · Discontinued | $0.32 | $0.32 | $0.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.24 Median $0.24 Typical High $0.24 | Professional | 55 · Aftercare only | $0.24 | $0.24 | $0.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.16 Median $0.16 Typical High $0.16 | Professional | 56 · Pre-op care only | $0.16 | $0.16 | $0.16 |
AmeriHealth Setting Facility Modifier None Typical Low $1.74 Median $1.74 Typical High $2.00 | Facility | None | $1.74 | $1.74 | $2.00 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1.51 Median $1.74 Typical High $2.04 | Facility | None | $1.51 | $1.74 | $2.04 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1.66 Median $1.66 Typical High $1.66 | Professional | None | $1.66 | $1.66 | $1.66 |
Cigna Setting Facility Modifier None Typical Low $1.58 Median $2.69 Typical High $6.17 | Facility | None | $1.58 | $2.69 | $6.17 |
Cigna Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | None | $1.58 | $1.58 | $1.58 |
Geisinger Setting Facility Modifier None Typical Low $1.58 Median $1.58 Typical High $1.58 | Facility | None | $1.58 | $1.58 | $1.58 |
Geisinger Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.88 | Professional | None | $2.40 | $2.40 | $2.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $1.62 Median $3.63 Typical High $15.14 | Facility | None | $1.62 | $3.63 | $15.14 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1.70 Median $1.70 Typical High $1.95 | Facility | None | $1.70 | $1.70 | $1.95 |
Martin's Point Setting Facility Modifier None Typical Low $1.58 Median $2.45 Typical High $4.79 | Facility | None | $1.58 | $2.45 | $4.79 |
Martin's Point Setting Professional Modifier None Typical Low $1.58 Median $1.62 Typical High $2.45 | Professional | None | $1.58 | $1.62 | $2.45 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.79 Median $0.81 Typical High $0.81 | Professional | 52 · Reduced service | $0.79 | $0.81 | $0.81 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.32 Median $0.32 Typical High $0.32 | Professional | 53 · Discontinued | $0.32 | $0.32 | $0.32 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.24 Median $0.24 Typical High $0.24 | Professional | 55 · Aftercare only | $0.24 | $0.24 | $0.24 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.16 Median $0.16 Typical High $0.16 | Professional | 56 · Pre-op care only | $0.16 | $0.16 | $0.16 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1.86 Median $1.86 Typical High $3.24 | Facility | None | $1.86 | $1.86 | $3.24 |
UPMC Health Plan Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $3.24 | Professional | None | $2.82 | $2.82 | $3.24 |
United Setting Professional Modifier None Typical Low $1.55 Median $1.55 Typical High $2.82 | Professional | None | $1.55 | $1.55 | $2.82 |
Where Pennsylvania sits
The same service costs 3.3 times more in Texas 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· 32nd of 51
$1.70
TX $5.13MD $1.55
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.