How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $5Professionalmedian $1 · 10th to 90th $1 to $2
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 $1.23 Median $1.51 Typical High $3.80 | Facility | None | $1.23 | $1.51 | $3.80 |
Aetna Setting Professional Modifier None Typical Low $1.23 Median $1.23 Typical High $1.23 | Professional | None | $1.23 | $1.23 | $1.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.62 Median $0.62 Typical High $0.62 | Professional | 52 · Reduced service | $0.62 | $0.62 | $0.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.24 Median $0.25 Typical High $0.25 | Professional | 53 · Discontinued | $0.24 | $0.25 | $0.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | 55 · Aftercare only | $0.18 | $0.18 | $0.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.12 Median $0.12 Typical High $0.12 | Professional | 56 · Pre-op care only | $0.12 | $0.12 | $0.12 |
AmeriHealth Setting Facility Modifier None Typical Low $1.17 Median $1.32 Typical High $1.51 | Facility | None | $1.17 | $1.32 | $1.51 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1.15 Median $1.32 Typical High $1.58 | Facility | None | $1.15 | $1.32 | $1.58 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | None | $1.26 | $1.26 | $1.26 |
Cigna Setting Facility Modifier None Typical Low $1.23 Median $2.04 Typical High $4.68 | Facility | None | $1.23 | $2.04 | $4.68 |
Cigna Setting Professional Modifier None Typical Low $1.23 Median $1.23 Typical High $1.23 | Professional | None | $1.23 | $1.23 | $1.23 |
Geisinger Setting Facility Modifier None Typical Low $1.23 Median $1.23 Typical High $1.23 | Facility | None | $1.23 | $1.23 | $1.23 |
Geisinger Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $2.19 | Professional | None | $1.82 | $1.82 | $2.19 |
Highmark BCBS Setting Facility Modifier None Typical Low $1.95 Median $6.92 Typical High $10.72 | Facility | None | $1.95 | $6.92 | $10.72 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1.15 Median $1.17 Typical High $1.35 | Facility | None | $1.15 | $1.17 | $1.35 |
Martin's Point Setting Facility Modifier None Typical Low $1.20 Median $1.38 Typical High $3.72 | Facility | None | $1.20 | $1.38 | $3.72 |
Martin's Point Setting Professional Modifier None Typical Low $1.23 Median $1.23 Typical High $1.23 | Professional | None | $1.23 | $1.23 | $1.23 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.62 Median $0.62 Typical High $0.62 | Professional | 52 · Reduced service | $0.62 | $0.62 | $0.62 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.24 Median $0.25 Typical High $0.25 | Professional | 53 · Discontinued | $0.24 | $0.25 | $0.25 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | 55 · Aftercare only | $0.18 | $0.18 | $0.18 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.12 Median $0.12 Typical High $0.12 | Professional | 56 · Pre-op care only | $0.12 | $0.12 | $0.12 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1.41 Median $1.41 Typical High $1.78 | Facility | None | $1.41 | $1.41 | $1.78 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $1.78 | Professional | None | $1.51 | $1.51 | $1.78 |
United Setting Professional Modifier None Typical Low $1.10 Median $1.10 Typical High $2.00 | Professional | None | $1.10 | $1.10 | $2.00 |
Where Pennsylvania sits
The same service costs 3.8 times more in Texas than in Maryland. 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· 42nd of 51
$1.23
TX $4.17MD $1.10
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.