How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $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 $0.58 Median $1.05 Typical High $3.31 | Facility | None | $0.58 | $1.05 | $3.31 |
Aetna Setting Professional Modifier None Typical Low $0.58 Median $0.59 Typical High $0.65 | Professional | None | $0.58 | $0.59 | $0.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.28 Median $0.30 Typical High $0.30 | Professional | 52 · Reduced service | $0.28 | $0.30 | $0.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.12 Median $0.12 Typical High $0.12 | Professional | 53 · Discontinued | $0.12 | $0.12 | $0.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $0.44 Median $0.44 Typical High $0.44 | Professional | 54 · Surgery only | $0.44 | $0.44 | $0.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | 55 · Aftercare only | $0.09 | $0.09 | $0.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | 56 · Pre-op care only | $0.06 | $0.06 | $0.06 |
Capital Blue Cross Setting Facility Modifier None Typical Low $0.55 Median $0.63 Typical High $0.76 | Facility | None | $0.55 | $0.63 | $0.76 |
Capital Blue Cross Setting Professional Modifier None Typical Low $0.62 Median $0.62 Typical High $0.62 | Professional | None | $0.62 | $0.62 | $0.62 |
Cigna Setting Facility Modifier None Typical Low $0.58 Median $0.98 Typical High $2.24 | Facility | None | $0.58 | $0.98 | $2.24 |
Cigna Setting Professional Modifier None Typical Low $0.58 Median $0.58 Typical High $0.58 | Professional | None | $0.58 | $0.58 | $0.58 |
Geisinger Setting Facility Modifier None Typical Low $0.58 Median $0.58 Typical High $0.58 | Facility | None | $0.58 | $0.58 | $0.58 |
Geisinger Setting Professional Modifier None Typical Low $0.87 Median $0.87 Typical High $1.05 | Professional | None | $0.87 | $0.87 | $1.05 |
Highmark BCBS Setting Facility Modifier None Typical Low $1.41 Median $3.24 Typical High $5.50 | Facility | None | $1.41 | $3.24 | $5.50 |
Martin's Point Setting Facility Modifier None Typical Low $0.58 Median $1.05 Typical High $3.31 | Facility | None | $0.58 | $1.05 | $3.31 |
Martin's Point Setting Professional Modifier None Typical Low $0.58 Median $0.59 Typical High $0.65 | Professional | None | $0.58 | $0.59 | $0.65 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.28 Median $0.30 Typical High $0.30 | Professional | 52 · Reduced service | $0.28 | $0.30 | $0.30 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.12 Median $0.12 Typical High $0.12 | Professional | 53 · Discontinued | $0.12 | $0.12 | $0.12 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $0.44 Median $0.44 Typical High $0.44 | Professional | 54 · Surgery only | $0.44 | $0.44 | $0.44 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | 55 · Aftercare only | $0.09 | $0.09 | $0.09 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | 56 · Pre-op care only | $0.06 | $0.06 | $0.06 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.68 Median $0.68 Typical High $1.07 | Facility | None | $0.68 | $0.68 | $1.07 |
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 Facility Modifier None Typical Low $0.58 Median $0.58 Typical High $0.58 | Facility | None | $0.58 | $0.58 | $0.58 |
United Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $1.23 | Professional | None | $0.68 | $0.68 | $1.23 |
Where Pennsylvania sits
The same service costs 4.1 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· 46th of 51
$0.63
WY $2.34DE $0.58
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.