How much rates vary
Facilitymedian $1 · 10th to 90th $0 to $1Professionalmedian $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 $0.39 Median $0.71 Typical High $1.91 | Facility | None | $0.39 | $0.71 | $1.91 |
Aetna Setting Professional Modifier None Typical Low $0.39 Median $0.40 Typical High $0.43 | Professional | None | $0.39 | $0.40 | $0.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | 52 · Reduced service | $0.20 | $0.20 | $0.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | 53 · Discontinued | $0.08 | $0.08 | $0.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | 55 · Aftercare only | $0.06 | $0.06 | $0.06 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.04 | $0.04 | $0.04 |
AmeriHealth Setting Facility Modifier None Typical Low $0.43 Median $0.43 Typical High $0.52 | Facility | None | $0.43 | $0.43 | $0.52 |
Capital Blue Cross Setting Facility Modifier None Typical Low $0.38 Median $0.43 Typical High $0.51 | Facility | None | $0.38 | $0.43 | $0.51 |
Capital Blue Cross Setting Professional Modifier None Typical Low $0.41 Median $0.41 Typical High $0.41 | Professional | None | $0.41 | $0.41 | $0.41 |
Cigna Setting Facility Modifier None Typical Low $0.39 Median $0.65 Typical High $1.48 | Facility | None | $0.39 | $0.65 | $1.48 |
Cigna Setting Professional Modifier None Typical Low $0.39 Median $0.39 Typical High $0.39 | Professional | None | $0.39 | $0.39 | $0.39 |
Geisinger Setting Facility Modifier None Typical Low $0.39 Median $0.39 Typical High $0.39 | Facility | None | $0.39 | $0.39 | $0.39 |
Geisinger Setting Professional Modifier None Typical Low $0.59 Median $0.59 Typical High $0.71 | Professional | None | $0.59 | $0.59 | $0.71 |
Highmark BCBS Setting Facility Modifier None Typical Low $1.29 Median $2.75 Typical High $6.92 | Facility | None | $1.29 | $2.75 | $6.92 |
Independence Blue Cross Setting Facility Modifier None Typical Low $0.52 Median $0.52 Typical High $0.60 | Facility | None | $0.52 | $0.52 | $0.60 |
Martin's Point Setting Facility Modifier None Typical Low $0.39 Median $0.72 Typical High $7.24 | Facility | None | $0.39 | $0.72 | $7.24 |
Martin's Point Setting Professional Modifier None Typical Low $0.39 Median $0.40 Typical High $0.44 | Professional | None | $0.39 | $0.40 | $0.44 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | 52 · Reduced service | $0.20 | $0.20 | $0.20 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | 53 · Discontinued | $0.08 | $0.08 | $0.08 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | 55 · Aftercare only | $0.06 | $0.06 | $0.06 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.04 | $0.04 | $0.04 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.46 Median $0.46 Typical High $0.60 | Facility | None | $0.46 | $0.46 | $0.60 |
UPMC Health Plan Setting Professional Modifier None Typical Low $0.52 Median $0.52 Typical High $0.60 | Professional | None | $0.52 | $0.52 | $0.60 |
United Setting Professional Modifier None Typical Low $0.48 Median $0.48 Typical High $0.87 | Professional | None | $0.48 | $0.48 | $0.87 |
Where Pennsylvania sits
The same service costs 5.2 times more in Wyoming than in Georgia. 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· 42nd of 51
$0.46
WY $2.04GA $0.39
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.