How much rates vary
Facilitymedian $2 · 10th to 90th $2 to $7Professionalmedian $2 · 10th to 90th $2 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 $1.20 Median $2.19 Typical High $4.17 | Facility | None | $1.20 | $2.19 | $4.17 |
Aetna Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.89 Median $0.89 Typical High $0.89 | Professional | 52 · Reduced service | $0.89 | $0.89 | $0.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.35 Median $0.36 Typical High $0.36 | Professional | 53 · Discontinued | $0.35 | $0.36 | $0.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.27 Median $0.27 Typical High $0.27 | Professional | 55 · Aftercare only | $0.27 | $0.27 | $0.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | 56 · Pre-op care only | $0.18 | $0.18 | $0.18 |
AmeriHealth Setting Facility Modifier None Typical Low $1.91 Median $1.91 Typical High $2.19 | Facility | None | $1.91 | $1.91 | $2.19 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1.70 Median $1.91 Typical High $2.29 | Facility | None | $1.70 | $1.91 | $2.29 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | None | $1.82 | $1.82 | $1.82 |
Cigna Setting Facility Modifier None Typical Low $1.78 Median $2.95 Typical High $6.76 | Facility | None | $1.78 | $2.95 | $6.76 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
Geisinger Setting Facility Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Facility | None | $1.78 | $1.78 | $1.78 |
Geisinger Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $3.16 | Professional | None | $2.63 | $2.63 | $3.16 |
Highmark BCBS Setting Facility Modifier None Typical Low $3.39 Median $8.71 Typical High $12.30 | Facility | None | $3.39 | $8.71 | $12.30 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1.82 Median $2.00 Typical High $2.09 | Facility | None | $1.82 | $2.00 | $2.09 |
Martin's Point Setting Facility Modifier None Typical Low $1.20 Median $1.82 Typical High $4.17 | Facility | None | $1.20 | $1.82 | $4.17 |
Martin's Point Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.89 Median $0.89 Typical High $0.89 | Professional | 52 · Reduced service | $0.89 | $0.89 | $0.89 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.35 Median $0.36 Typical High $0.36 | Professional | 53 · Discontinued | $0.35 | $0.36 | $0.36 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.27 Median $0.27 Typical High $0.27 | Professional | 55 · Aftercare only | $0.27 | $0.27 | $0.27 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | 56 · Pre-op care only | $0.18 | $0.18 | $0.18 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1.02 Median $2.04 Typical High $2.19 | Facility | None | $1.02 | $2.04 | $2.19 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $1.20 | Professional | None | $1.02 | $1.02 | $1.20 |
United Setting Professional Modifier None Typical Low $1.66 Median $1.66 Typical High $3.02 | Professional | None | $1.66 | $1.66 | $3.02 |
Where Pennsylvania sits
The same service costs 2.6 times more in Wyoming than in Hawaii. 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
$1.78
WY $3.63HI $1.41
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.