How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $5Professionalmedian $1 · 10th to 90th $1 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 $0.76 Median $1.12 Typical High $2.88 | Facility | None | $0.76 | $1.12 | $2.88 |
Aetna Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $1.29 | Professional | None | $0.76 | $0.76 | $1.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.38 Median $0.38 Typical High $0.38 | Professional | 52 · Reduced service | $0.38 | $0.38 | $0.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | 53 · Discontinued | $0.15 | $0.15 | $0.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.11 Median $0.11 Typical High $0.11 | Professional | 55 · Aftercare only | $0.11 | $0.11 | $0.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.08 | $0.08 | $0.08 |
AmeriHealth Setting Facility Modifier None Typical Low $0.78 Median $0.81 Typical High $0.89 | Facility | None | $0.78 | $0.81 | $0.89 |
AmeriHealth Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.79 | Professional | None | $0.76 | $0.76 | $0.79 |
Capital Blue Cross Setting Facility Modifier None Typical Low $0.72 Median $0.81 Typical High $0.98 | Facility | None | $0.72 | $0.81 | $0.98 |
Capital Blue Cross Setting Professional Modifier None Typical Low $0.78 Median $0.78 Typical High $0.78 | Professional | None | $0.78 | $0.78 | $0.78 |
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 |
Geisinger Setting Facility Modifier None Typical Low $0.76 Median $0.76 Typical High $0.76 | Facility | None | $0.76 | $0.76 | $0.76 |
Geisinger Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $1.35 | Professional | None | $1.12 | $1.12 | $1.35 |
Highmark BCBS Setting Facility Modifier None Typical Low $1.35 Median $4.37 Typical High $8.51 | Facility | None | $1.35 | $4.37 | $8.51 |
Independence Blue Cross Setting Facility Modifier None Typical Low $0.78 Median $0.78 Typical High $0.89 | Facility | None | $0.78 | $0.78 | $0.89 |
Independence Blue Cross Setting Professional Modifier None Typical Low $0.72 Median $0.76 Typical High $0.76 | Professional | None | $0.72 | $0.76 | $0.76 |
Martin's Point Setting Facility Modifier None Typical Low $0.76 Median $1.15 Typical High $4.57 | Facility | None | $0.76 | $1.15 | $4.57 |
Martin's Point Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $1.29 | Professional | None | $0.76 | $0.76 | $1.29 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.38 Median $0.38 Typical High $0.38 | Professional | 52 · Reduced service | $0.38 | $0.38 | $0.38 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.15 Median $0.15 Typical High $0.15 | Professional | 53 · Discontinued | $0.15 | $0.15 | $0.15 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.11 Median $0.11 Typical High $0.11 | Professional | 55 · Aftercare only | $0.11 | $0.11 | $0.11 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.08 | $0.08 | $0.08 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.87 Median $0.87 Typical High $1.35 | Facility | None | $0.87 | $0.87 | $1.35 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1.15 Median $1.15 Typical High $1.35 | Professional | None | $1.15 | $1.15 | $1.35 |
United Setting Professional Modifier None Typical Low $0.69 Median $0.76 Typical High $1.26 | Professional | None | $0.69 | $0.76 | $1.26 |
Where Pennsylvania sits
The same service costs 5.2 times more in Vermont than in Rhode Island. 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· 26th of 51
$0.81
VT $3.80RI $0.72
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.