How much rates vary
Facilitymedian $3 · 10th to 90th $0 to $5,012Professionalmedian $1 · 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 $0.47 Median $0.47 Typical High $0.59 | Facility | None | $0.47 | $0.47 | $0.59 |
Aetna Setting Professional Modifier None Typical Low $0.47 Median $0.59 Typical High $0.59 | Professional | None | $0.47 | $0.59 | $0.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.24 Median $0.30 Typical High $0.30 | Professional | 52 · Reduced service | $0.24 | $0.30 | $0.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.09 Median $0.12 Typical High $0.12 | Professional | 53 · Discontinued | $0.09 | $0.12 | $0.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.07 Median $0.09 Typical High $0.09 | Professional | 55 · Aftercare only | $0.07 | $0.09 | $0.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.06 Typical High $0.06 | Professional | 56 · Pre-op care only | $0.05 | $0.06 | $0.06 |
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 $0.85 Median $0.95 Typical High $0.95 | Professional | None | $0.85 | $0.95 | $0.95 |
Cigna Setting Facility Modifier None Typical Low $0.58 Median $0.58 Typical High $0.58 | Facility | None | $0.58 | $0.58 | $0.58 |
Cigna Setting Professional Modifier None Typical Low $0.49 Median $0.49 Typical High $0.49 | Professional | None | $0.49 | $0.49 | $0.49 |
Emblem Health Setting Professional Modifier None Typical Low $1.26 Median $1.41 Typical High $1.78 | Professional | None | $1.26 | $1.41 | $1.78 |
Geisinger Setting Facility Modifier None Typical Low $0.98 Median $0.98 Typical High $0.98 | Facility | None | $0.98 | $0.98 | $0.98 |
Geisinger Setting Professional Modifier None Typical Low $0.58 Median $0.63 Typical High $0.98 | Professional | None | $0.58 | $0.63 | $0.98 |
Highmark BCBS Setting Facility Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57 | Facility | None | $4.57 | $4.57 | $4.57 |
Martin's Point Setting Facility Modifier None Typical Low $0.47 Median $0.47 Typical High $0.47 | Facility | None | $0.47 | $0.47 | $0.47 |
Martin's Point Setting Professional Modifier None Typical Low $0.47 Median $0.59 Typical High $0.59 | Professional | None | $0.47 | $0.59 | $0.59 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.24 Median $0.30 Typical High $0.30 | Professional | 52 · Reduced service | $0.24 | $0.30 | $0.30 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.09 Median $0.12 Typical High $0.12 | Professional | 53 · Discontinued | $0.09 | $0.12 | $0.12 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.07 Median $0.09 Typical High $0.09 | Professional | 55 · Aftercare only | $0.07 | $0.09 | $0.09 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.06 Typical High $0.06 | Professional | 56 · Pre-op care only | $0.05 | $0.06 | $0.06 |
Oscar Health Setting Professional Modifier None Typical Low $1.00 Median $1.29 Typical High $1.41 | Professional | None | $1.00 | $1.29 | $1.41 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.68 Median $3.02 Typical High $5.25 | Facility | None | $0.68 | $3.02 | $5.25 |
UPMC Health Plan Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $0.91 | Professional | None | $0.68 | $0.68 | $0.91 |
United Setting Professional Modifier None Typical Low $0.41 Median $0.48 Typical High $0.68 | Professional | None | $0.41 | $0.48 | $0.68 |
Where Pennsylvania sits
The same service costs 2.6 times more in Hawaii than in Colorado. 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· 22nd of 51
$0.59
HI $1.05CO $0.41
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.