How much rates vary
Facilitymedian $0 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $0
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 $0.14 Median $0.20 Typical High $0.33 | Facility | None | $0.14 | $0.20 | $0.33 |
Aetna Setting Professional Modifier None Typical Low $0.14 Median $0.14 Typical High $0.20 | Professional | None | $0.14 | $0.14 | $0.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | 52 · Reduced service | $0.07 | $0.07 | $0.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 53 · Discontinued | $0.03 | $0.03 | $0.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 55 · Aftercare only | $0.02 | $0.02 | $0.02 |
AmeriHealth Setting Facility Modifier None Typical Low $0.13 Median $0.13 Typical High $0.15 | Facility | None | $0.13 | $0.13 | $0.15 |
AmeriHealth Setting Professional Modifier None Typical Low $0.12 Median $0.12 Typical High $0.12 | Professional | None | $0.12 | $0.12 | $0.12 |
Capital Blue Cross Setting Facility Modifier None Typical Low $0.13 Median $0.15 Typical High $0.18 | Facility | None | $0.13 | $0.15 | $0.18 |
Capital Blue Cross Setting Professional Modifier None Typical Low $0.14 Median $0.14 Typical High $0.14 | Professional | None | $0.14 | $0.14 | $0.14 |
Cigna Setting Facility Modifier None Typical Low $0.14 Median $0.23 Typical High $0.54 | Facility | None | $0.14 | $0.23 | $0.54 |
Cigna Setting Professional Modifier None Typical Low $0.14 Median $0.14 Typical High $0.14 | Professional | None | $0.14 | $0.14 | $0.14 |
Geisinger Setting Facility Modifier None Typical Low $0.14 Median $0.14 Typical High $0.14 | Facility | None | $0.14 | $0.14 | $0.14 |
Geisinger Setting Professional Modifier None Typical Low $0.21 Median $0.21 Typical High $0.25 | Professional | None | $0.21 | $0.21 | $0.25 |
Highmark BCBS Setting Facility Modifier None Typical Low $0.44 Median $1.26 Typical High $5.75 | Facility | None | $0.44 | $1.26 | $5.75 |
Independence Blue Cross Setting Facility Modifier None Typical Low $0.13 Median $0.13 Typical High $0.15 | Facility | None | $0.13 | $0.13 | $0.15 |
Independence Blue Cross Setting Professional Modifier None Typical Low $0.12 Median $0.12 Typical High $0.12 | Professional | None | $0.12 | $0.12 | $0.12 |
Martin's Point Setting Facility Modifier None Typical Low $0.14 Median $0.20 Typical High $1.35 | Facility | None | $0.14 | $0.20 | $1.35 |
Martin's Point Setting Professional Modifier None Typical Low $0.14 Median $0.14 Typical High $0.16 | Professional | None | $0.14 | $0.14 | $0.16 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | 52 · Reduced service | $0.07 | $0.07 | $0.07 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 53 · Discontinued | $0.03 | $0.03 | $0.03 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 55 · Aftercare only | $0.02 | $0.02 | $0.02 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.14 Median $0.16 Typical High $0.17 | Facility | None | $0.14 | $0.16 | $0.17 |
UPMC Health Plan Setting Professional Modifier None Typical Low $0.14 Median $0.14 Typical High $0.16 | Professional | None | $0.14 | $0.14 | $0.16 |
United Setting Professional Modifier None Typical Low $0.13 Median $0.13 Typical High $0.24 | Professional | None | $0.13 | $0.13 | $0.24 |
Where Pennsylvania sits
The same service costs 4.7 times more in Oklahoma 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· 48th of 51
$0.14
OK $0.60MD $0.13
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.