How much rates vary
Facilitymedian $0 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $0
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 $0.20 Median $0.24 Typical High $0.52 | Facility | None | $0.20 | $0.24 | $0.52 |
Aetna Setting Professional Modifier None Typical Low $0.20 Median $0.20 Typical High $0.21 | Professional | None | $0.20 | $0.20 | $0.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.10 Median $0.10 Typical High $0.10 | Professional | 52 · Reduced service | $0.10 | $0.10 | $0.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | 53 · Discontinued | $0.04 | $0.04 | $0.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 55 · Aftercare only | $0.03 | $0.03 | $0.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 56 · Pre-op care only | $0.02 | $0.02 | $0.02 |
AmeriHealth Setting Facility Modifier None Typical Low $0.16 Median $0.16 Typical High $0.22 | Facility | None | $0.16 | $0.16 | $0.22 |
AmeriHealth Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | None | $2.00 | $2.00 | $2.00 |
Capital Blue Cross Setting Facility Modifier None Typical Low $0.19 Median $0.22 Typical High $0.26 | Facility | None | $0.19 | $0.22 | $0.26 |
Capital Blue Cross Setting Professional Modifier None Typical Low $0.19 Median $0.21 Typical High $0.21 | Professional | None | $0.19 | $0.21 | $0.21 |
Cigna Setting Facility Modifier None Typical Low $0.20 Median $0.33 Typical High $0.76 | Facility | None | $0.20 | $0.33 | $0.76 |
Cigna Setting Professional Modifier None Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | None | $0.20 | $0.20 | $0.20 |
Emblem Health Setting Professional Modifier None Typical Low $0.21 Median $0.22 Typical High $0.98 | Professional | None | $0.21 | $0.22 | $0.98 |
Geisinger Setting Facility Modifier None Typical Low $0.20 Median $0.20 Typical High $0.20 | Facility | None | $0.20 | $0.20 | $0.20 |
Geisinger Setting Professional Modifier None Typical Low $0.20 Median $0.33 Typical High $7.08 | Professional | None | $0.20 | $0.33 | $7.08 |
Highmark BCBS Setting Facility Modifier None Typical Low $1.02 Median $5.01 Typical High $6.31 | Facility | None | $1.02 | $5.01 | $6.31 |
Highmark BCBS Setting Professional Modifier None Typical Low $0.23 Median $1.10 Typical High $1.45 | Professional | None | $0.23 | $1.10 | $1.45 |
Independence Blue Cross Setting Facility Modifier None Typical Low $0.16 Median $0.16 Typical High $0.19 | Facility | None | $0.16 | $0.16 | $0.19 |
Independence Blue Cross Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | None | $2.00 | $2.00 | $2.00 |
Martin's Point Setting Facility Modifier None Typical Low $0.20 Median $0.24 Typical High $0.52 | Facility | None | $0.20 | $0.24 | $0.52 |
Martin's Point Setting Professional Modifier None Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | None | $0.20 | $0.20 | $0.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.10 Median $0.10 Typical High $0.10 | Professional | 52 · Reduced service | $0.10 | $0.10 | $0.10 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | 53 · Discontinued | $0.04 | $0.04 | $0.04 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 55 · Aftercare only | $0.03 | $0.03 | $0.03 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 56 · Pre-op care only | $0.02 | $0.02 | $0.02 |
Oscar Health Setting Professional Modifier None Typical Low $0.89 Median $5.01 Typical High $5.01 | Professional | None | $0.89 | $5.01 | $5.01 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.23 Median $0.23 Typical High $0.42 | Facility | None | $0.23 | $0.23 | $0.42 |
UPMC Health Plan Setting Professional Modifier None Typical Low $0.36 Median $0.37 Typical High $0.42 | Professional | None | $0.36 | $0.37 | $0.42 |
United Setting Professional Modifier None Typical Low $0.15 Median $0.17 Typical High $4.07 | Professional | None | $0.15 | $0.17 | $4.07 |
Where Pennsylvania sits
The same service costs 3.8 times more in Wyoming than in Michigan. 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
$0.20
WY $0.76MI $0.20
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.