How much rates vary
Facilitymedian $3 · 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 $2.14 Median $3.31 Typical High $5.62 | Facility | None | $2.14 | $3.31 | $5.62 |
Aetna Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.24 | Professional | None | $2.14 | $2.14 | $2.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.07 Median $1.07 Typical High $1.07 | Professional | 52 · Reduced service | $1.07 | $1.07 | $1.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.43 Median $0.43 Typical High $0.43 | Professional | 53 · Discontinued | $0.43 | $0.43 | $0.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.32 Median $0.32 Typical High $0.32 | Professional | 55 · Aftercare only | $0.32 | $0.32 | $0.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.21 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.21 | $0.21 | $0.22 |
Ambetter Setting Professional Modifier None Typical Low $2.14 Median $2.19 Typical High $2.19 | Professional | None | $2.14 | $2.19 | $2.19 |
AmeriHealth Setting Facility Modifier None Typical Low $2.34 Median $2.34 Typical High $4.57 | Facility | None | $2.34 | $2.34 | $4.57 |
AmeriHealth Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | None | $4.07 | $4.07 | $4.07 |
Capital Blue Cross Setting Facility Modifier None Typical Low $2.04 Median $2.29 Typical High $2.75 | Facility | None | $2.04 | $2.29 | $2.75 |
Capital Blue Cross Setting Professional Modifier None Typical Low $2.00 Median $2.19 Typical High $2.19 | Professional | None | $2.00 | $2.19 | $2.19 |
Cigna Setting Facility Modifier None Typical Low $2.14 Median $3.55 Typical High $8.13 | Facility | None | $2.14 | $3.55 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Emblem Health Setting Professional Modifier None Typical Low $2.19 Median $2.29 Typical High $4.79 | Professional | None | $2.19 | $2.29 | $4.79 |
Geisinger Setting Facility Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Facility | None | $2.14 | $2.14 | $2.14 |
Geisinger Setting Professional Modifier None Typical Low $2.14 Median $2.88 Typical High $4.79 | Professional | None | $2.14 | $2.88 | $4.79 |
Highmark BCBS Setting Facility Modifier None Typical Low $4.90 Median $10.72 Typical High $21.38 | Facility | None | $4.90 | $10.72 | $21.38 |
Highmark BCBS Setting Professional Modifier None Typical Low $2.29 Median $5.13 Typical High $5.37 | Professional | None | $2.29 | $5.13 | $5.37 |
Independence Blue Cross Setting Facility Modifier None Typical Low $2.34 Median $4.07 Typical High $4.68 | Facility | None | $2.34 | $4.07 | $4.68 |
Independence Blue Cross Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | None | $4.07 | $4.07 | $4.07 |
Martin's Point Setting Facility Modifier None Typical Low $2.14 Median $3.31 Typical High $5.62 | Facility | None | $2.14 | $3.31 | $5.62 |
Martin's Point Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.07 Median $1.07 Typical High $1.07 | Professional | 52 · Reduced service | $1.07 | $1.07 | $1.07 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.43 Median $0.43 Typical High $0.43 | Professional | 53 · Discontinued | $0.43 | $0.43 | $0.43 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.32 Median $0.32 Typical High $0.32 | Professional | 55 · Aftercare only | $0.32 | $0.32 | $0.32 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.21 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.21 | $0.21 | $0.22 |
Oscar Health Setting Professional Modifier None Typical Low $3.72 Median $5.01 Typical High $5.01 | Professional | None | $3.72 | $5.01 | $5.01 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1.70 Median $2.45 Typical High $2.63 | Facility | None | $1.70 | $2.45 | $2.63 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1.70 Median $1.74 Typical High $1.95 | Professional | None | $1.70 | $1.74 | $1.95 |
United Setting Professional Modifier None Typical Low $2.04 Median $2.29 Typical High $11.75 | Professional | None | $2.04 | $2.29 | $11.75 |
Where Pennsylvania sits
The same service costs 1.9 times more in Wyoming than in Maine. 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
$2.14
WY $4.07ME $2.14
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.