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 $0.20 Median $0.22 Typical High $0.52 | Facility | None | $0.20 | $0.22 | $0.52 |
Aetna Setting Professional Modifier None Typical Low $0.20 Median $0.20 Typical High $0.26 | Professional | None | $0.20 | $0.20 | $0.26 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.10 Median $0.10 Typical High $0.11 | Professional | 52 · Reduced service | $0.10 | $0.10 | $0.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | 53 · Discontinued | $0.04 | $0.04 | $0.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 55 · Aftercare only | $0.03 | $0.03 | $0.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 56 · Pre-op care only | $0.02 | $0.02 | $0.02 |
AmeriHealth Setting Facility Modifier None Typical Low $0.22 Median $0.23 Typical High $0.25 | Facility | None | $0.22 | $0.23 | $0.25 |
AmeriHealth Setting Professional Modifier None Typical Low $0.21 Median $0.21 Typical High $0.21 | Professional | None | $0.21 | $0.21 | $0.21 |
Capital Blue Cross Setting Facility Modifier None Typical Low $0.19 Median $0.22 Typical High $0.26 | Facility | None | $0.19 | $0.22 | $0.26 |
Capital Blue Cross Setting Professional Modifier None Typical Low $0.21 Median $0.21 Typical High $0.21 | Professional | None | $0.21 | $0.21 | $0.21 |
Cigna Setting Facility Modifier None Typical Low $0.20 Median $0.33 Typical High $0.76 | Facility | None | $0.20 | $0.33 | $0.76 |
Cigna Setting Professional Modifier None Typical Low $0.20 Median $0.20 Typical High $0.28 | Professional | None | $0.20 | $0.20 | $0.28 |
Emblem Health Setting Professional Modifier None Typical Low $0.17 Median $0.22 Typical High $1.86 | Professional | None | $0.17 | $0.22 | $1.86 |
Geisinger Setting Facility Modifier None Typical Low $0.20 Median $0.20 Typical High $0.20 | Facility | None | $0.20 | $0.20 | $0.20 |
Geisinger Setting Professional Modifier None Typical Low $0.20 Median $0.23 Typical High $1.07 | Professional | None | $0.20 | $0.23 | $1.07 |
Highmark BCBS Setting Facility Modifier None Typical Low $1.51 Median $4.79 Typical High $7.59 | Facility | None | $1.51 | $4.79 | $7.59 |
Independence Blue Cross Setting Facility Modifier None Typical Low $0.22 Median $0.23 Typical High $0.26 | Facility | None | $0.22 | $0.23 | $0.26 |
Independence Blue Cross Setting Professional Modifier None Typical Low $0.21 Median $0.22 Typical High $0.22 | Professional | None | $0.21 | $0.22 | $0.22 |
Martin's Point Setting Facility Modifier None Typical Low $0.20 Median $0.32 Typical High $0.52 | Facility | None | $0.20 | $0.32 | $0.52 |
Martin's Point Setting Professional Modifier None Typical Low $0.20 Median $0.20 Typical High $0.23 | Professional | None | $0.20 | $0.20 | $0.23 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.10 Median $0.10 Typical High $0.11 | Professional | 52 · Reduced service | $0.10 | $0.10 | $0.11 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | 53 · Discontinued | $0.04 | $0.04 | $0.04 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 55 · Aftercare only | $0.03 | $0.03 | $0.03 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 56 · Pre-op care only | $0.02 | $0.02 | $0.02 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.13 Median $0.23 Typical High $0.26 | Facility | None | $0.13 | $0.23 | $0.26 |
UPMC Health Plan Setting Professional Modifier None Typical Low $0.13 Median $0.13 Typical High $0.15 | Professional | None | $0.13 | $0.13 | $0.15 |
United Setting Professional Modifier None Typical Low $0.08 Median $0.21 Typical High $0.37 | Professional | None | $0.08 | $0.21 | $0.37 |
Where Pennsylvania sits
The same service costs 2.3 times more in Oklahoma than in Florida. 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· 45th of 51
$0.20
OK $0.47FL $0.20
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.