How much rates vary
Facilitymedian $6 · 10th to 90th $5 to $19Professionalmedian $5 · 10th to 90th $5 to $5
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 $5.25 Median $7.94 Typical High $21.38 | Facility | None | $5.25 | $7.94 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $5.25 Median $5.37 Typical High $5.50 | Professional | None | $5.25 | $5.37 | $5.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.63 Median $2.63 Typical High $2.69 | Professional | 52 · Reduced service | $2.63 | $2.63 | $2.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.07 Typical High $1.07 | Professional | 53 · Discontinued | $1.07 | $1.07 | $1.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | 55 · Aftercare only | $0.79 | $0.79 | $0.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | 56 · Pre-op care only | $0.52 | $0.52 | $0.52 |
Ambetter Setting Professional Modifier None Typical Low $4.90 Median $5.25 Typical High $5.25 | Professional | None | $4.90 | $5.25 | $5.25 |
AmeriHealth Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $8.71 | Facility | None | $6.17 | $6.17 | $8.71 |
Capital Blue Cross Setting Facility Modifier None Typical Low $5.01 Median $5.75 Typical High $6.76 | Facility | None | $5.01 | $5.75 | $6.76 |
Capital Blue Cross Setting Professional Modifier None Typical Low $4.90 Median $5.50 Typical High $5.50 | Professional | None | $4.90 | $5.50 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $5.25 Median $8.91 Typical High $19.95 | Facility | None | $5.25 | $8.91 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | None | $5.25 | $5.25 | $5.25 |
Emblem Health Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $40.74 | Professional | None | $5.50 | $5.50 | $40.74 |
Geisinger Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Facility | None | $5.25 | $5.25 | $5.25 |
Geisinger Setting Professional Modifier None Typical Low $5.25 Median $6.61 Typical High $10.47 | Professional | None | $5.25 | $6.61 | $10.47 |
Highmark BCBS Setting Facility Modifier None Typical Low $16.60 Median $19.05 Typical High $30.90 | Facility | None | $16.60 | $19.05 | $30.90 |
Highmark BCBS Setting Professional Modifier None Typical Low $5.25 Median $6.61 Typical High $7.94 | Professional | None | $5.25 | $6.61 | $7.94 |
Independence Blue Cross Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $7.24 | Facility | None | $6.17 | $6.17 | $7.24 |
Independence Blue Cross Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | None | $5.37 | $5.37 | $5.37 |
Martin's Point Setting Facility Modifier None Typical Low $5.25 Median $8.13 Typical High $15.14 | Facility | None | $5.25 | $8.13 | $15.14 |
Martin's Point Setting Professional Modifier None Typical Low $5.25 Median $5.37 Typical High $5.37 | Professional | None | $5.25 | $5.37 | $5.37 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $2.63 Median $2.63 Typical High $2.69 | Professional | 52 · Reduced service | $2.63 | $2.63 | $2.69 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.07 Typical High $1.07 | Professional | 53 · Discontinued | $1.07 | $1.07 | $1.07 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | 55 · Aftercare only | $0.79 | $0.79 | $0.79 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | 56 · Pre-op care only | $0.52 | $0.52 | $0.52 |
Oscar Health Setting Professional Modifier None Typical Low $0.60 Median $30.20 Typical High $35.48 | Professional | None | $0.60 | $30.20 | $35.48 |
UPMC Health Plan Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $14.79 | Facility | None | $6.17 | $6.17 | $14.79 |
UPMC Health Plan Setting Professional Modifier None Typical Low $12.59 Median $12.88 Typical High $14.79 | Professional | None | $12.59 | $12.88 | $14.79 |
United Setting Professional Modifier None Typical Low $4.57 Median $5.25 Typical High $5.89 | Professional | None | $4.57 | $5.25 | $5.89 |
Where Pennsylvania sits
The same service costs 1.9 times more in Wyoming than in Colorado. 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· 18th of 51
$5.37
WY $10.00CO $5.25
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.