How much rates vary
Facilitymedian $2 · 10th to 90th $1 to $7Professionalmedian $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 $1.26 Median $1.91 Typical High $6.31 | Facility | None | $1.26 | $1.91 | $6.31 |
Aetna Setting Professional Modifier None Typical Low $1.38 Median $1.41 Typical High $1.74 | Professional | None | $1.38 | $1.41 | $1.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.71 Median $0.71 Typical High $0.71 | Professional | 52 · Reduced service | $0.71 | $0.71 | $0.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | 53 · Discontinued | $0.28 | $0.28 | $0.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.21 Median $0.21 Typical High $0.21 | Professional | 55 · Aftercare only | $0.21 | $0.21 | $0.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.14 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.14 | $0.14 | $0.14 |
AmeriHealth Setting Facility Modifier None Typical Low $1.29 Median $1.51 Typical High $1.66 | Facility | None | $1.29 | $1.51 | $1.66 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1.32 Median $1.51 Typical High $1.78 | Facility | None | $1.32 | $1.51 | $1.78 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1.45 Median $1.45 Typical High $1.45 | Professional | None | $1.45 | $1.45 | $1.45 |
Cigna Setting Facility Modifier None Typical Low $1.38 Median $2.29 Typical High $5.25 | Facility | None | $1.38 | $2.29 | $5.25 |
Cigna Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | None | $1.38 | $1.38 | $1.38 |
Geisinger Setting Facility Modifier None Typical Low $1.38 Median $1.38 Typical High $1.38 | Facility | None | $1.38 | $1.38 | $1.38 |
Geisinger Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $2.51 | Professional | None | $2.09 | $2.09 | $2.51 |
Highmark BCBS Setting Facility Modifier None Typical Low $3.80 Median $7.08 Typical High $10.72 | Facility | None | $3.80 | $7.08 | $10.72 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1.26 Median $1.26 Typical High $1.45 | Facility | None | $1.26 | $1.26 | $1.45 |
Martin's Point Setting Facility Modifier None Typical Low $1.26 Median $2.14 Typical High $6.31 | Facility | None | $1.26 | $2.14 | $6.31 |
Martin's Point Setting Professional Modifier None Typical Low $1.38 Median $1.41 Typical High $1.78 | Professional | None | $1.38 | $1.41 | $1.78 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.71 Median $0.71 Typical High $0.71 | Professional | 52 · Reduced service | $0.71 | $0.71 | $0.71 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | 53 · Discontinued | $0.28 | $0.28 | $0.28 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.21 Median $0.21 Typical High $0.21 | Professional | 55 · Aftercare only | $0.21 | $0.21 | $0.21 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.14 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.14 | $0.14 | $0.14 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.91 Median $1.62 Typical High $1.66 | Facility | None | $0.91 | $1.62 | $1.66 |
UPMC Health Plan Setting Professional Modifier None Typical Low $0.91 Median $0.91 Typical High $1.07 | Professional | None | $0.91 | $0.91 | $1.07 |
United Setting Professional Modifier None Typical Low $1.15 Median $1.15 Typical High $2.09 | Professional | None | $1.15 | $1.15 | $2.09 |
Where Pennsylvania sits
The same service costs 5.9 times more in Vermont than in Oklahoma. 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· 20th of 51
$1.41
VT $5.89OK $1.00
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.