How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $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 $1.38 Typical High $3.24 | Facility | None | $0.76 | $1.38 | $3.24 |
Aetna Setting Professional Modifier None Typical Low $0.76 Median $0.78 Typical High $0.78 | Professional | None | $0.76 | $0.78 | $0.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.38 Median $0.39 Typical High $0.39 | Professional | 52 · Reduced service | $0.38 | $0.39 | $0.39 |
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 $0.12 Typical High $0.12 | Professional | 55 · Aftercare only | $0.11 | $0.12 | $0.12 |
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 |
Capital Blue Cross Setting Facility Modifier None Typical Low $0.72 Median $0.83 Typical High $1.00 | Facility | None | $0.72 | $0.83 | $1.00 |
Capital Blue Cross Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | None | $0.79 | $0.79 | $0.79 |
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 $1.15 Median $1.15 Typical High $1.38 | Professional | None | $1.15 | $1.15 | $1.38 |
Highmark BCBS Setting Facility Modifier None Typical Low $3.24 Median $3.24 Typical High $3.24 | Facility | None | $3.24 | $3.24 | $3.24 |
Martin's Point Setting Facility Modifier None Typical Low $0.76 Median $1.38 Typical High $3.24 | Facility | None | $0.76 | $1.38 | $3.24 |
Martin's Point Setting Professional Modifier None Typical Low $0.76 Median $0.78 Typical High $0.78 | Professional | None | $0.76 | $0.78 | $0.78 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.38 Median $0.39 Typical High $0.39 | Professional | 52 · Reduced service | $0.38 | $0.39 | $0.39 |
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 $0.12 Typical High $0.12 | Professional | 55 · Aftercare only | $0.11 | $0.12 | $0.12 |
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 $0.89 Median $0.89 Typical High $1.48 | Facility | None | $0.89 | $0.89 | $1.48 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1.29 Median $1.29 Typical High $1.48 | Professional | None | $1.29 | $1.29 | $1.48 |
United Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $1.55 | Professional | None | $0.85 | $0.85 | $1.55 |
Where Pennsylvania sits
The same service costs 3.9 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· 40th of 51
$0.83
WY $2.95DE $0.76
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.