How much rates vary
Facilitymedian $4 · 10th to 90th $0 to $724Professionalmedian $0 · 10th to 90th $0 to $1
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 $0.30 Median $0.30 Typical High $0.41 | Facility | None | $0.30 | $0.30 | $0.41 |
Aetna Setting Professional Modifier None Typical Low $0.21 Median $0.31 Typical High $0.38 | Professional | None | $0.21 | $0.31 | $0.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.15 Median $0.19 Typical High $0.19 | Professional | 52 · Reduced service | $0.15 | $0.19 | $0.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.06 Median $0.08 Typical High $0.08 | Professional | 53 · Discontinued | $0.06 | $0.08 | $0.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.06 Typical High $0.06 | Professional | 55 · Aftercare only | $0.05 | $0.06 | $0.06 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.03 | $0.04 | $0.04 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.03 Median $0.04 Typical High $0.06 | Professional | RR · Rental | $0.03 | $0.04 | $0.06 |
Ambetter Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $63.10 | Professional | None | $46.77 | $46.77 | $63.10 |
AmeriHealth Setting Facility Modifier None Typical Low $114.82 Median $407.38 Typical High $724.44 | Facility | None | $114.82 | $407.38 | $724.44 |
AmeriHealth Setting Professional Modifier None Typical Low $0.40 Median $0.40 Typical High $0.40 | Professional | None | $0.40 | $0.40 | $0.40 |
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 $0.56 Median $0.62 Typical High $0.62 | Professional | None | $0.56 | $0.62 | $0.62 |
Cigna Setting Facility Modifier None Typical Low $0.37 Median $0.37 Typical High $0.37 | Facility | None | $0.37 | $0.37 | $0.37 |
Cigna Setting Professional Modifier None Typical Low $0.31 Median $0.31 Typical High $0.31 | Professional | None | $0.31 | $0.31 | $0.31 |
Emblem Health Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $1.00 | Professional | None | $0.79 | $0.79 | $1.00 |
Geisinger Setting Facility Modifier None Typical Low $0.63 Median $0.63 Typical High $0.63 | Facility | None | $0.63 | $0.63 | $0.63 |
Geisinger Setting Professional Modifier None Typical Low $0.38 Median $0.41 Typical High $0.63 | Professional | None | $0.38 | $0.41 | $0.63 |
Highmark BCBS Setting Facility Modifier None Typical Low $2.24 Median $4.27 Typical High $8.71 | Facility | None | $2.24 | $4.27 | $8.71 |
Independence Blue Cross Setting Facility Modifier None Typical Low $199.53 Median $489.78 Typical High $794.33 | Facility | None | $199.53 | $489.78 | $794.33 |
Martin's Point Setting Facility Modifier None Typical Low $0.30 Median $0.30 Typical High $0.41 | Facility | None | $0.30 | $0.30 | $0.41 |
Martin's Point Setting Professional Modifier None Typical Low $0.30 Median $0.34 Typical High $0.38 | Professional | None | $0.30 | $0.34 | $0.38 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.15 Median $0.19 Typical High $0.19 | Professional | 52 · Reduced service | $0.15 | $0.19 | $0.19 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.06 Median $0.08 Typical High $0.08 | Professional | 53 · Discontinued | $0.06 | $0.08 | $0.08 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.06 Typical High $0.06 | Professional | 55 · Aftercare only | $0.05 | $0.06 | $0.06 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.03 | $0.04 | $0.04 |
Martin's Point Setting Professional Modifier RR · Rental Typical Low $0.03 Median $0.04 Typical High $0.04 | Professional | RR · Rental | $0.03 | $0.04 | $0.04 |
Oscar Health Setting Professional Modifier None Typical Low $0.60 Median $0.89 Typical High $0.89 | Professional | None | $0.60 | $0.89 | $0.89 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.42 Median $2.04 Typical High $3.55 | Facility | None | $0.42 | $2.04 | $3.55 |
UPMC Health Plan Setting Professional Modifier None Typical Low $0.42 Median $0.42 Typical High $0.59 | Professional | None | $0.42 | $0.42 | $0.59 |
United Setting Professional Modifier None Typical Low $0.26 Median $0.31 Typical High $0.50 | Professional | None | $0.26 | $0.31 | $0.50 |
Where Pennsylvania sits
The same service costs 4.6 times more in Hawaii than in Rhode Island. 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· 24th of 51
$0.38
HI $1.05RI $0.23
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.