How much rates vary
Facilitymedian $0 · 10th to 90th $0 to $3Professionalmedian $0 · 10th to 90th $0 to $0
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 $0.21 Median $0.21 Typical High $0.23 | Facility | None | $0.21 | $0.21 | $0.23 |
Aetna Setting Professional Modifier None Typical Low $0.21 Median $0.23 Typical High $0.23 | Professional | None | $0.21 | $0.23 | $0.23 |
Ambetter Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $19.05 | Professional | None | $12.02 | $12.02 | $19.05 |
Ambetter Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | AU · Urologic/ostomy supply | $25.70 | $25.70 | $25.70 |
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 $0.25 Median $0.31 Typical High $0.31 | Professional | None | $0.25 | $0.31 | $0.31 |
Capital Blue Cross Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.28 Median $0.34 Typical High $0.34 | Professional | AU · Urologic/ostomy supply | $0.28 | $0.34 | $0.34 |
Capital Blue Cross Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.25 Median $0.31 Typical High $0.31 | Professional | AV · With prosthetic/orthotic | $0.25 | $0.31 | $0.31 |
Cigna Setting Facility Modifier None Typical Low $0.19 Median $0.20 Typical High $0.20 | Facility | None | $0.19 | $0.20 | $0.20 |
Cigna Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $0.89 | Professional | None | $0.17 | $0.17 | $0.89 |
Emblem Health Setting Professional Modifier None Typical Low $0.17 Median $0.51 Typical High $0.59 | Professional | None | $0.17 | $0.51 | $0.59 |
Geisinger Setting Facility Modifier AU · Urologic/ostomy supply Typical Low $0.35 Median $0.35 Typical High $0.35 | Facility | AU · Urologic/ostomy supply | $0.35 | $0.35 | $0.35 |
Geisinger Setting Professional Modifier None Typical Low $0.27 Median $0.27 Typical High $0.95 | Professional | None | $0.27 | $0.27 | $0.95 |
Geisinger Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.21 Median $0.23 Typical High $0.35 | Professional | AU · Urologic/ostomy supply | $0.21 | $0.23 | $0.35 |
Geisinger Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.19 Median $0.21 Typical High $0.32 | Professional | AV · With prosthetic/orthotic | $0.19 | $0.21 | $0.32 |
Highmark BCBS Setting Professional Modifier None Typical Low $0.26 Median $0.26 Typical High $0.28 | Professional | None | $0.26 | $0.26 | $0.28 |
Martin's Point Setting Facility Modifier None Typical Low $0.21 Median $0.21 Typical High $0.21 | Facility | None | $0.21 | $0.21 | $0.21 |
Martin's Point Setting Professional Modifier None Typical Low $0.21 Median $0.23 Typical High $0.23 | Professional | None | $0.21 | $0.23 | $0.23 |
Oscar Health Setting Professional Modifier None Typical Low $0.40 Median $0.79 Typical High $0.79 | Professional | None | $0.40 | $0.79 | $0.79 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.58 Median $1.17 Typical High $1.91 | Facility | None | $0.58 | $1.17 | $1.91 |
UPMC Health Plan Setting Professional Modifier None Typical Low $0.23 Median $0.23 Typical High $0.23 | Professional | None | $0.23 | $0.23 | $0.23 |
UPMC Health Plan Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.25 Median $0.25 Typical High $0.32 | Professional | AU · Urologic/ostomy supply | $0.25 | $0.25 | $0.32 |
UPMC Health Plan Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.23 Median $0.23 Typical High $0.28 | Professional | AV · With prosthetic/orthotic | $0.23 | $0.23 | $0.28 |
United Setting Professional Modifier None Typical Low $0.13 Median $0.17 Typical High $0.27 | Professional | None | $0.13 | $0.17 | $0.27 |
Where Pennsylvania sits
The same service costs 2.7 times more in Arkansas than in Utah. 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· 21st of 51
$0.23
AR $0.38UT $0.14
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.