How much rates vary
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 $0.28 Median $0.32 Typical High $1.17 | Facility | None | $0.28 | $0.32 | $1.17 |
Aetna Setting Professional Modifier None Typical Low $0.28 Median $0.28 Typical High $0.32 | Professional | None | $0.28 | $0.28 | $0.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.14 Median $0.14 Typical High $0.16 | Professional | 52 · Reduced service | $0.14 | $0.14 | $0.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | 53 · Discontinued | $0.06 | $0.06 | $0.06 |
Capital Blue Cross Setting Facility Modifier None Typical Low $0.69 Median $0.79 Typical High $0.93 | Facility | None | $0.69 | $0.79 | $0.93 |
Capital Blue Cross Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | None | $0.79 | $0.79 | $0.79 |
Cigna Setting Facility Modifier None Typical Low $0.76 Median $1.26 Typical High $2.88 | Facility | None | $0.76 | $1.26 | $2.88 |
Cigna Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | None | $0.76 | $0.76 | $0.76 |
Martin's Point Setting Facility Modifier None Typical Low $0.32 Median $0.42 Typical High $1.17 | Facility | None | $0.32 | $0.42 | $1.17 |
Martin's Point Setting Professional Modifier None Typical Low $0.28 Median $0.28 Typical High $0.32 | Professional | None | $0.28 | $0.28 | $0.32 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.14 Median $0.14 Typical High $0.16 | Professional | 52 · Reduced service | $0.14 | $0.14 | $0.16 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | 53 · Discontinued | $0.06 | $0.06 | $0.06 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.39 Median $1.00 Typical High $2.51 | Facility | None | $0.39 | $1.00 | $2.51 |
United Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $1.20 | Professional | None | $0.85 | $0.85 | $1.20 |
Where Pennsylvania sits
The same service costs 1.6 times more in Massachusetts 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· 44th of 51
$0.76
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.