How much rates vary
Facilitymedian $2 · 10th to 90th $2 to $6Professionalmedian $2 · 10th to 90th $2 to $2
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 $1.66 Median $1.95 Typical High $4.57 | Facility | None | $1.66 | $1.95 | $4.57 |
Aetna Setting Professional Modifier None Typical Low $1.66 Median $1.66 Typical High $1.82 | Professional | None | $1.66 | $1.66 | $1.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.83 Median $0.83 Typical High $0.83 | Professional | 52 · Reduced service | $0.83 | $0.83 | $0.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.33 Median $0.33 Typical High $0.33 | Professional | 53 · Discontinued | $0.33 | $0.33 | $0.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.25 Median $0.25 Typical High $0.25 | Professional | 55 · Aftercare only | $0.25 | $0.25 | $0.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | 56 · Pre-op care only | $0.17 | $0.17 | $0.17 |
AmeriHealth Setting Facility Modifier None Typical Low $1.91 Median $2.04 Typical High $2.34 | Facility | None | $1.91 | $2.04 | $2.34 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1.55 Median $1.78 Typical High $2.14 | Facility | None | $1.55 | $1.78 | $2.14 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | None | $1.70 | $1.70 | $1.70 |
Cigna Setting Facility Modifier None Typical Low $1.66 Median $2.75 Typical High $6.31 | Facility | None | $1.66 | $2.75 | $6.31 |
Cigna Setting Professional Modifier None Typical Low $1.66 Median $1.66 Typical High $1.66 | Professional | None | $1.66 | $1.66 | $1.66 |
Geisinger Setting Facility Modifier None Typical Low $1.66 Median $1.66 Typical High $1.66 | Facility | None | $1.66 | $1.66 | $1.66 |
Geisinger Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.95 | Professional | None | $2.45 | $2.45 | $2.95 |
Highmark BCBS Setting Facility Modifier None Typical Low $5.13 Median $8.91 Typical High $18.20 | Facility | None | $5.13 | $8.91 | $18.20 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1.91 Median $1.91 Typical High $2.34 | Facility | None | $1.91 | $1.91 | $2.34 |
Martin's Point Setting Facility Modifier None Typical Low $1.66 Median $2.00 Typical High $4.57 | Facility | None | $1.66 | $2.00 | $4.57 |
Martin's Point Setting Professional Modifier None Typical Low $1.66 Median $1.66 Typical High $1.82 | Professional | None | $1.66 | $1.66 | $1.82 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.83 Median $0.83 Typical High $0.83 | Professional | 52 · Reduced service | $0.83 | $0.83 | $0.83 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.33 Median $0.33 Typical High $0.33 | Professional | 53 · Discontinued | $0.33 | $0.33 | $0.33 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.25 Median $0.25 Typical High $0.25 | Professional | 55 · Aftercare only | $0.25 | $0.25 | $0.25 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | 56 · Pre-op care only | $0.17 | $0.17 | $0.17 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1.74 Median $1.91 Typical High $2.04 | Facility | None | $1.74 | $1.91 | $2.04 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $2.04 | Professional | None | $1.74 | $1.74 | $2.04 |
United Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $3.39 | Professional | None | $1.86 | $1.86 | $3.39 |
Where Pennsylvania sits
The same service costs 3.2 times more in Texas than in Georgia. 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
$1.86
TX $5.25GA $1.66
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.