How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $13Professionalmedian $1 · 10th to 90th $1 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 $0.95 Median $0.95 Typical High $1.20 | Facility | None | $0.95 | $0.95 | $1.20 |
Aetna Setting Professional Modifier None Typical Low $0.95 Median $1.20 Typical High $1.20 | Professional | None | $0.95 | $1.20 | $1.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.14 Median $0.18 Typical High $0.18 | Professional | 55 · Aftercare only | $0.14 | $0.18 | $0.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.12 Typical High $0.12 | Professional | 56 · Pre-op care only | $0.10 | $0.12 | $0.12 |
AmeriHealth Setting Professional Modifier None Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | None | $1.26 | $1.26 | $1.26 |
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 $1.55 Median $1.95 Typical High $1.95 | Professional | None | $1.55 | $1.95 | $1.95 |
Cigna Setting Facility Modifier None Typical Low $0.72 Median $1.35 Typical High $1.35 | Facility | None | $0.72 | $1.35 | $1.35 |
Cigna Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $11.22 | Professional | None | $1.12 | $1.12 | $11.22 |
Emblem Health Setting Professional Modifier None Typical Low $1.66 Median $3.31 Typical High $3.80 | Professional | None | $1.66 | $3.31 | $3.80 |
Geisinger Setting Facility Modifier None Typical Low $2.00 Median $2.00 Typical High $2.00 | Facility | None | $2.00 | $2.00 | $2.00 |
Geisinger Setting Professional Modifier None Typical Low $0.98 Median $1.20 Typical High $2.00 | Professional | None | $0.98 | $1.20 | $2.00 |
Highmark BCBS Setting Professional Modifier None Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | None | $1.20 | $1.20 | $1.20 |
Independence Blue Cross Setting Professional Modifier None Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | None | $1.26 | $1.26 | $1.26 |
Martin's Point Setting Facility Modifier None Typical Low $0.95 Median $0.95 Typical High $0.95 | Facility | None | $0.95 | $0.95 | $0.95 |
Martin's Point Setting Professional Modifier None Typical Low $0.95 Median $1.20 Typical High $1.20 | Professional | None | $0.95 | $1.20 | $1.20 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.14 Median $0.18 Typical High $0.18 | Professional | 55 · Aftercare only | $0.14 | $0.18 | $0.18 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.12 Typical High $0.12 | Professional | 56 · Pre-op care only | $0.10 | $0.12 | $0.12 |
Oscar Health Setting Professional Modifier None Typical Low $1.82 Median $2.82 Typical High $2.88 | Professional | None | $1.82 | $2.82 | $2.88 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1.45 Median $6.31 Typical High $10.96 | Facility | None | $1.45 | $6.31 | $10.96 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1.45 Median $1.45 Typical High $1.86 | Professional | None | $1.45 | $1.45 | $1.86 |
United Setting Professional Modifier None Typical Low $0.76 Median $0.98 Typical High $1.62 | Professional | None | $0.76 | $0.98 | $1.62 |
Where Pennsylvania sits
The same service costs 5.8 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· 32nd of 51
$1.26
HI $5.75RI $1.00
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.