How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $4Professionalmedian $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 $1.10 Median $1.66 Typical High $3.98 | Facility | None | $1.10 | $1.66 | $3.98 |
Aetna Setting Professional Modifier None Typical Low $1.10 Median $1.10 Typical High $1.20 | Professional | None | $1.10 | $1.10 | $1.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.55 Median $0.55 Typical High $0.58 | Professional | 52 · Reduced service | $0.55 | $0.55 | $0.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.22 Median $0.22 Typical High $0.23 | Professional | 53 · Discontinued | $0.22 | $0.22 | $0.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.16 Median $0.17 Typical High $0.17 | Professional | 55 · Aftercare only | $0.16 | $0.17 | $0.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.11 Typical High $0.12 | Professional | 56 · Pre-op care only | $0.11 | $0.11 | $0.12 |
AmeriHealth Setting Facility Modifier None Typical Low $1.17 Median $1.17 Typical High $1.35 | Facility | None | $1.17 | $1.17 | $1.35 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1.02 Median $1.17 Typical High $1.41 | Facility | None | $1.02 | $1.17 | $1.41 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | None | $1.12 | $1.12 | $1.12 |
Cigna Setting Facility Modifier None Typical Low $1.10 Median $1.82 Typical High $4.17 | Facility | None | $1.10 | $1.82 | $4.17 |
Cigna Setting Professional Modifier None Typical Low $1.10 Median $1.10 Typical High $1.41 | Professional | None | $1.10 | $1.10 | $1.41 |
Emblem Health Setting Professional Modifier None Typical Low $0.95 Median $1.17 Typical High $8.32 | Professional | None | $0.95 | $1.17 | $8.32 |
Geisinger Setting Facility Modifier None Typical Low $1.10 Median $1.10 Typical High $1.10 | Facility | None | $1.10 | $1.10 | $1.10 |
Geisinger Setting Professional Modifier None Typical Low $1.10 Median $1.10 Typical High $1.95 | Professional | None | $1.10 | $1.10 | $1.95 |
Highmark BCBS Setting Facility Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | None | $6.31 | $6.31 | $6.31 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1.12 Median $1.17 Typical High $1.35 | Facility | None | $1.12 | $1.17 | $1.35 |
Martin's Point Setting Facility Modifier None Typical Low $1.10 Median $2.75 Typical High $3.98 | Facility | None | $1.10 | $2.75 | $3.98 |
Martin's Point Setting Professional Modifier None Typical Low $1.10 Median $1.10 Typical High $1.20 | Professional | None | $1.10 | $1.10 | $1.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.55 Median $0.55 Typical High $0.58 | Professional | 52 · Reduced service | $0.55 | $0.55 | $0.58 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.22 Median $0.22 Typical High $0.23 | Professional | 53 · Discontinued | $0.22 | $0.22 | $0.23 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.16 Median $0.17 Typical High $0.17 | Professional | 55 · Aftercare only | $0.16 | $0.17 | $0.17 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.11 Typical High $0.11 | Professional | 56 · Pre-op care only | $0.11 | $0.11 | $0.11 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.87 Median $1.26 Typical High $1.35 | Facility | None | $0.87 | $1.26 | $1.35 |
UPMC Health Plan Setting Professional Modifier None Typical Low $0.87 Median $0.89 Typical High $1.00 | Professional | None | $0.87 | $0.89 | $1.00 |
United Setting Professional Modifier None Typical Low $0.44 Median $1.10 Typical High $1.51 | Professional | None | $0.44 | $1.10 | $1.51 |
Where Pennsylvania sits
The same service costs 4.3 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· 41st of 51
$1.10
WY $4.68DE $1.10
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.