How much rates vary
Facilitymedian $1 · 10th to 90th $0 to $2Professionalmedian $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 $0.40 Median $0.60 Typical High $1.38 | Facility | None | $0.40 | $0.60 | $1.38 |
Aetna Setting Professional Modifier None Typical Low $0.40 Median $0.41 Typical High $0.81 | Professional | None | $0.40 | $0.41 | $0.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.20 Median $0.21 Typical High $0.21 | Professional | 52 · Reduced service | $0.20 | $0.21 | $0.21 |
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 $0.44 Median $0.44 Typical High $0.51 | Facility | None | $0.44 | $0.44 | $0.51 |
AmeriHealth Setting Professional Modifier None Typical Low $0.43 Median $0.49 Typical High $0.49 | Professional | None | $0.43 | $0.49 | $0.49 |
Capital Blue Cross Setting Facility Modifier None Typical Low $0.38 Median $0.44 Typical High $0.52 | Facility | None | $0.38 | $0.44 | $0.52 |
Capital Blue Cross Setting Professional Modifier None Typical Low $0.42 Median $0.42 Typical High $0.42 | Professional | None | $0.42 | $0.42 | $0.42 |
Cigna Setting Facility Modifier None Typical Low $0.40 Median $0.68 Typical High $1.51 | Facility | None | $0.40 | $0.68 | $1.51 |
Cigna Setting Professional Modifier None Typical Low $0.40 Median $0.40 Typical High $0.40 | Professional | None | $0.40 | $0.40 | $0.40 |
Geisinger Setting Facility Modifier None Typical Low $0.40 Median $0.40 Typical High $0.40 | Facility | None | $0.40 | $0.40 | $0.40 |
Geisinger Setting Professional Modifier None Typical Low $0.60 Median $0.60 Typical High $0.72 | Professional | None | $0.60 | $0.60 | $0.72 |
Highmark BCBS Setting Facility Modifier None Typical Low $1.15 Median $2.09 Typical High $8.13 | Facility | None | $1.15 | $2.09 | $8.13 |
Independence Blue Cross Setting Facility Modifier None Typical Low $0.47 Median $0.51 Typical High $0.54 | Facility | None | $0.47 | $0.51 | $0.54 |
Independence Blue Cross Setting Professional Modifier None Typical Low $0.46 Median $0.49 Typical High $0.49 | Professional | None | $0.46 | $0.49 | $0.49 |
Martin's Point Setting Facility Modifier None Typical Low $0.40 Median $0.62 Typical High $1.20 | Facility | None | $0.40 | $0.62 | $1.20 |
Martin's Point Setting Professional Modifier None Typical Low $0.40 Median $0.41 Typical High $0.72 | Professional | None | $0.40 | $0.41 | $0.72 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.20 Median $0.21 Typical High $0.21 | Professional | 52 · Reduced service | $0.20 | $0.21 | $0.21 |
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 $0.47 Median $0.47 Typical High $0.62 | Facility | None | $0.47 | $0.47 | $0.62 |
UPMC Health Plan Setting Professional Modifier None Typical Low $0.52 Median $0.52 Typical High $0.62 | Professional | None | $0.52 | $0.52 | $0.62 |
United Setting Professional Modifier None Typical Low $0.43 Median $0.43 Typical High $0.79 | Professional | None | $0.43 | $0.43 | $0.79 |
Where Pennsylvania sits
The same service costs 4.0 times more in Texas 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· 28th of 51
$0.45
TX $1.58GA $0.40
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.