How much rates vary
Facilitymedian $15 · 10th to 90th $13 to $41Professionalmedian $13 · 10th to 90th $13 to $16
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 $12.88 Median $15.14 Typical High $40.74 | Facility | None | $12.88 | $15.14 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $13.18 Typical High $14.13 | Professional | None | $12.88 | $13.18 | $14.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $6.61 Typical High $6.61 | Professional | 52 · Reduced service | $6.46 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.63 Typical High $2.63 | Professional | 53 · Discontinued | $2.57 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | 55 · Aftercare only | $1.95 | $1.95 | $1.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.29 Median $1.32 Typical High $1.32 | Professional | 56 · Pre-op care only | $1.29 | $1.32 | $1.32 |
AmeriHealth Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $16.22 | Facility | None | $14.13 | $14.13 | $16.22 |
AmeriHealth Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
Capital Blue Cross Setting Facility Modifier None Typical Low $12.30 Median $14.13 Typical High $16.60 | Facility | None | $12.30 | $14.13 | $16.60 |
Capital Blue Cross Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $21.38 Typical High $48.98 | Facility | None | $12.88 | $21.38 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Geisinger Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Geisinger Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $23.44 | Professional | None | $19.50 | $19.50 | $23.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Independence Blue Cross Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
Martin's Point Setting Facility Modifier None Typical Low $12.88 Median $15.14 Typical High $40.74 | Facility | None | $12.88 | $15.14 | $40.74 |
Martin's Point Setting Professional Modifier None Typical Low $12.88 Median $13.18 Typical High $14.45 | Professional | None | $12.88 | $13.18 | $14.45 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $6.61 Typical High $6.61 | Professional | 52 · Reduced service | $6.46 | $6.61 | $6.61 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.63 Typical High $2.63 | Professional | 53 · Discontinued | $2.57 | $2.63 | $2.63 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | 55 · Aftercare only | $1.95 | $1.95 | $1.95 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.29 Median $1.32 Typical High $1.32 | Professional | 56 · Pre-op care only | $1.29 | $1.32 | $1.32 |
UPMC Health Plan Setting Facility Modifier None Typical Low $12.59 Median $15.14 Typical High $15.85 | Facility | None | $12.59 | $15.14 | $15.85 |
UPMC Health Plan Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $14.79 | Professional | None | $12.59 | $12.59 | $14.79 |
United Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $26.30 | Professional | None | $14.79 | $14.79 | $26.30 |
Where Pennsylvania sits
The same service costs 2.0 times more in South Carolina than in Kentucky. 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
$14.13
SC $25.70KY $12.88
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.