How much rates vary
Facilitymedian $4 · 10th to 90th $4 to $34Professionalmedian $4 · 10th to 90th $3 to $6
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 $2.75 Median $2.75 Typical High $2.88 | Facility | None | $2.75 | $2.75 | $2.88 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $2.82 Typical High $3.02 | Professional | None | $2.69 | $2.82 | $3.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.35 Median $1.41 Typical High $1.51 | Professional | 52 · Reduced service | $1.35 | $1.41 | $1.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.54 Median $0.56 Typical High $0.60 | Professional | 53 · Discontinued | $0.54 | $0.56 | $0.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.40 Median $0.42 Typical High $0.45 | Professional | 55 · Aftercare only | $0.40 | $0.42 | $0.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.27 Median $0.28 Typical High $0.30 | Professional | 56 · Pre-op care only | $0.27 | $0.28 | $0.30 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $4.90 Median $6.17 Typical High $6.17 | Professional | None | $4.90 | $6.17 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Facility | None | $3.55 | $3.55 | $3.55 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $30.90 | Professional | None | $2.95 | $2.95 | $30.90 |
Emblem Health Setting Professional Modifier None Typical Low $5.75 Median $9.12 Typical High $10.47 | Professional | None | $5.75 | $9.12 | $10.47 |
Geisinger Setting Facility Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | None | $6.31 | $6.31 | $6.31 |
Geisinger Setting Professional Modifier None Typical Low $3.72 Median $4.37 Typical High $6.31 | Professional | None | $3.72 | $4.37 | $6.31 |
Highmark BCBS Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $17.78 | Facility | None | $12.02 | $12.02 | $17.78 |
Martin's Point Setting Facility Modifier None Typical Low $2.75 Median $2.75 Typical High $2.75 | Facility | None | $2.75 | $2.75 | $2.75 |
Martin's Point Setting Professional Modifier None Typical Low $2.69 Median $2.88 Typical High $3.02 | Professional | None | $2.69 | $2.88 | $3.02 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.35 Median $1.45 Typical High $1.51 | Professional | 52 · Reduced service | $1.35 | $1.45 | $1.51 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.54 Median $0.58 Typical High $0.60 | Professional | 53 · Discontinued | $0.54 | $0.58 | $0.60 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.41 Median $0.43 Typical High $0.45 | Professional | 55 · Aftercare only | $0.41 | $0.43 | $0.45 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.27 Median $0.28 Typical High $0.30 | Professional | 56 · Pre-op care only | $0.27 | $0.28 | $0.30 |
Oscar Health Setting Professional Modifier None Typical Low $6.17 Median $8.71 Typical High $9.33 | Professional | None | $6.17 | $8.71 | $9.33 |
UPMC Health Plan Setting Facility Modifier None Typical Low $4.37 Median $19.95 Typical High $33.88 | Facility | None | $4.37 | $19.95 | $33.88 |
UPMC Health Plan Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $5.89 | Professional | None | $4.37 | $4.37 | $5.89 |
United Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $9.12 | Facility | None | $7.59 | $7.59 | $9.12 |
United Setting Professional Modifier None Typical Low $2.75 Median $3.02 Typical High $4.79 | Professional | None | $2.75 | $3.02 | $4.79 |
Where Pennsylvania sits
The same service costs 4.9 times more in Kansas than in Delaware. 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· 26th of 51
$3.72
KS $14.45DE $2.95
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.