How much rates vary
Facilitymedian $2 · 10th to 90th $0 to $5,012Professionalmedian $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 $0.38 Median $0.38 Typical High $0.48 | Facility | None | $0.38 | $0.38 | $0.48 |
Aetna Setting Professional Modifier None Typical Low $0.38 Median $0.48 Typical High $0.48 | Professional | None | $0.38 | $0.48 | $0.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.19 Median $0.24 Typical High $0.24 | Professional | 52 · Reduced service | $0.19 | $0.24 | $0.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.08 Median $0.10 Typical High $0.10 | Professional | 53 · Discontinued | $0.08 | $0.10 | $0.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.06 Median $0.07 Typical High $0.07 | Professional | 55 · Aftercare only | $0.06 | $0.07 | $0.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.05 Typical High $0.05 | Professional | 56 · Pre-op care only | $0.04 | $0.05 | $0.05 |
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 $0.71 Median $0.78 Typical High $0.78 | Professional | None | $0.71 | $0.78 | $0.78 |
Cigna Setting Facility Modifier None Typical Low $0.47 Median $0.47 Typical High $0.47 | Facility | None | $0.47 | $0.47 | $0.47 |
Cigna Setting Professional Modifier None Typical Low $0.40 Median $0.40 Typical High $0.40 | Professional | None | $0.40 | $0.40 | $0.40 |
Emblem Health Setting Professional Modifier None Typical Low $1.05 Median $1.15 Typical High $1.48 | Professional | None | $1.05 | $1.15 | $1.48 |
Geisinger Setting Facility Modifier None Typical Low $0.79 Median $0.79 Typical High $0.79 | Facility | None | $0.79 | $0.79 | $0.79 |
Geisinger Setting Professional Modifier None Typical Low $0.39 Median $0.41 Typical High $0.79 | Professional | None | $0.39 | $0.41 | $0.79 |
Martin's Point Setting Facility Modifier None Typical Low $0.38 Median $0.38 Typical High $0.38 | Facility | None | $0.38 | $0.38 | $0.38 |
Martin's Point Setting Professional Modifier None Typical Low $0.38 Median $0.48 Typical High $0.48 | Professional | None | $0.38 | $0.48 | $0.48 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.19 Median $0.24 Typical High $0.24 | Professional | 52 · Reduced service | $0.19 | $0.24 | $0.24 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.08 Median $0.10 Typical High $0.10 | Professional | 53 · Discontinued | $0.08 | $0.10 | $0.10 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.06 Median $0.07 Typical High $0.07 | Professional | 55 · Aftercare only | $0.06 | $0.07 | $0.07 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.05 Typical High $0.05 | Professional | 56 · Pre-op care only | $0.04 | $0.05 | $0.05 |
Oscar Health Setting Professional Modifier None Typical Low $0.79 Median $1.10 Typical High $1.20 | Professional | None | $0.79 | $1.10 | $1.20 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.56 Median $2.51 Typical High $4.37 | Facility | None | $0.56 | $2.51 | $4.37 |
UPMC Health Plan Setting Professional Modifier None Typical Low $0.56 Median $0.56 Typical High $0.74 | Professional | None | $0.56 | $0.56 | $0.74 |
United Setting Professional Modifier None Typical Low $0.33 Median $0.39 Typical High $0.56 | Professional | None | $0.33 | $0.39 | $0.56 |
Where Pennsylvania sits
The same service costs 2.6 times more in Hawaii 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· 24th of 51
$0.48
HI $0.85UT $0.33
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.