How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $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 $0.60 Median $1.10 Typical High $2.69 | Facility | None | $0.60 | $1.10 | $2.69 |
Aetna Setting Professional Modifier None Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | None | $0.60 | $0.60 | $0.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.30 Median $0.30 Typical High $0.30 | Professional | 52 · Reduced service | $0.30 | $0.30 | $0.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.12 Median $0.12 Typical High $0.12 | Professional | 53 · Discontinued | $0.12 | $0.12 | $0.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | 55 · Aftercare only | $0.09 | $0.09 | $0.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | 56 · Pre-op care only | $0.06 | $0.06 | $0.06 |
AmeriHealth Setting Facility Modifier None Typical Low $0.65 Median $0.65 Typical High $0.74 | Facility | None | $0.65 | $0.65 | $0.74 |
Capital Blue Cross Setting Facility Modifier None Typical Low $0.56 Median $0.65 Typical High $0.78 | Facility | None | $0.56 | $0.65 | $0.78 |
Capital Blue Cross Setting Professional Modifier None Typical Low $0.62 Median $0.62 Typical High $0.62 | Professional | None | $0.62 | $0.62 | $0.62 |
Cigna Setting Facility Modifier None Typical Low $0.60 Median $1.00 Typical High $2.29 | Facility | None | $0.60 | $1.00 | $2.29 |
Cigna Setting Professional Modifier None Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | None | $0.60 | $0.60 | $0.60 |
Geisinger Setting Facility Modifier None Typical Low $0.60 Median $0.60 Typical High $0.60 | Facility | None | $0.60 | $0.60 | $0.60 |
Geisinger Setting Professional Modifier None Typical Low $0.89 Median $0.89 Typical High $1.07 | Professional | None | $0.89 | $0.89 | $1.07 |
Highmark BCBS Setting Facility Modifier None Typical Low $1.58 Median $1.58 Typical High $1.58 | Facility | None | $1.58 | $1.58 | $1.58 |
Independence Blue Cross Setting Facility Modifier None Typical Low $0.68 Median $0.68 Typical High $0.78 | Facility | None | $0.68 | $0.68 | $0.78 |
Martin's Point Setting Facility Modifier None Typical Low $0.60 Median $1.10 Typical High $1.74 | Facility | None | $0.60 | $1.10 | $1.74 |
Martin's Point Setting Professional Modifier None Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | None | $0.60 | $0.60 | $0.60 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.30 Median $0.30 Typical High $0.30 | Professional | 52 · Reduced service | $0.30 | $0.30 | $0.30 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.12 Median $0.12 Typical High $0.12 | Professional | 53 · Discontinued | $0.12 | $0.12 | $0.12 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | 55 · Aftercare only | $0.09 | $0.09 | $0.09 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | 56 · Pre-op care only | $0.06 | $0.06 | $0.06 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.69 Median $0.69 Typical High $1.66 | Facility | None | $0.69 | $0.69 | $1.66 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1.41 Median $1.41 Typical High $1.66 | Professional | None | $1.41 | $1.41 | $1.66 |
United Setting Professional Modifier None Typical Low $0.62 Median $0.68 Typical High $1.12 | Professional | None | $0.62 | $0.68 | $1.12 |
Where Pennsylvania sits
The same service costs 3.4 times more in Wyoming than in Delaware. 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· 32nd of 51
$0.65
WY $2.04DE $0.60
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.