How much rates vary
Facilitymedian $3 · 10th to 90th $3 to $10Professionalmedian $3 · 10th to 90th $3 to $4
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 $5.89 Typical High $8.71 | Facility | None | $2.82 | $5.89 | $8.71 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $2.88 Typical High $2.88 | Professional | None | $2.82 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.45 Median $1.45 Typical High $1.45 | Professional | 52 · Reduced service | $1.45 | $1.45 | $1.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.58 Typical High $0.58 | Professional | 53 · Discontinued | $0.56 | $0.58 | $0.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.43 Median $0.43 Typical High $0.43 | Professional | 55 · Aftercare only | $0.43 | $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 $3.16 Median $3.16 Typical High $4.47 | Facility | None | $3.16 | $3.16 | $4.47 |
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 $4.79 Typical High $10.96 | Facility | None | $2.82 | $4.79 | $10.96 |
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 $6.17 Median $15.49 Typical High $33.11 | Facility | None | $6.17 | $15.49 | $33.11 |
Independence Blue Cross Setting Facility Modifier None Typical Low $3.16 Median $3.16 Typical High $3.72 | Facility | None | $3.16 | $3.16 | $3.72 |
Martin's Point Setting Facility Modifier None Typical Low $2.82 Median $5.89 Typical High $8.71 | Facility | None | $2.82 | $5.89 | $8.71 |
Martin's Point Setting Professional Modifier None Typical Low $2.82 Median $2.88 Typical High $2.88 | Professional | None | $2.82 | $2.88 | $2.88 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.45 Median $1.45 Typical High $1.45 | Professional | 52 · Reduced service | $1.45 | $1.45 | $1.45 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.58 Typical High $0.58 | Professional | 53 · Discontinued | $0.56 | $0.58 | $0.58 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.43 Median $0.43 Typical High $0.43 | Professional | 55 · Aftercare only | $0.43 | $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 $3.31 Median $3.31 Typical High $4.07 | Facility | None | $3.31 | $3.31 | $4.07 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $4.07 | Professional | None | $3.47 | $3.47 | $4.07 |
United Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $5.50 | Professional | None | $3.09 | $3.09 | $5.50 |
Where Pennsylvania sits
The same service costs 2.0 times more in Wyoming than in Florida. 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· 38th of 51
$3.09
WY $5.62FL $2.82
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.