How much rates vary
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 $0.38 Median $0.47 Typical High $1.07 | Facility | None | $0.38 | $0.47 | $1.07 |
Aetna Setting Professional Modifier None Typical Low $0.44 Median $0.45 Typical High $0.49 | Professional | None | $0.44 | $0.45 | $0.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.22 Median $0.23 Typical High $0.24 | Professional | 52 · Reduced service | $0.22 | $0.23 | $0.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | 53 · Discontinued | $0.09 | $0.09 | $0.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | 55 · Aftercare only | $0.07 | $0.07 | $0.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.05 Typical High $0.05 | Professional | 56 · Pre-op care only | $0.04 | $0.05 | $0.05 |
AmeriHealth Setting Facility Modifier None Typical Low $0.48 Median $0.48 Typical High $0.55 | Facility | None | $0.48 | $0.48 | $0.55 |
Capital Blue Cross Setting Facility Modifier None Typical Low $0.42 Median $0.48 Typical High $0.56 | Facility | None | $0.42 | $0.48 | $0.56 |
Capital Blue Cross Setting Professional Modifier None Typical Low $0.46 Median $0.46 Typical High $0.46 | Professional | None | $0.46 | $0.46 | $0.46 |
Cigna Setting Facility Modifier None Typical Low $0.45 Median $0.72 Typical High $1.70 | Facility | None | $0.45 | $0.72 | $1.70 |
Cigna Setting Professional Modifier None Typical Low $0.44 Median $0.44 Typical High $0.54 | Professional | None | $0.44 | $0.44 | $0.54 |
Emblem Health Setting Professional Modifier None Typical Low $0.39 Median $0.48 Typical High $3.02 | Professional | None | $0.39 | $0.48 | $3.02 |
Geisinger Setting Facility Modifier None Typical Low $0.44 Median $0.44 Typical High $0.44 | Facility | None | $0.44 | $0.44 | $0.44 |
Geisinger Setting Professional Modifier None Typical Low $0.21 Median $0.44 Typical High $0.79 | Professional | None | $0.21 | $0.44 | $0.79 |
Independence Blue Cross Setting Facility Modifier None Typical Low $0.44 Median $0.48 Typical High $0.55 | Facility | None | $0.44 | $0.48 | $0.55 |
Martin's Point Setting Facility Modifier None Typical Low $0.38 Median $0.68 Typical High $1.07 | Facility | None | $0.38 | $0.68 | $1.07 |
Martin's Point Setting Professional Modifier None Typical Low $0.44 Median $0.45 Typical High $0.49 | Professional | None | $0.44 | $0.45 | $0.49 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.22 Median $0.23 Typical High $0.24 | Professional | 52 · Reduced service | $0.22 | $0.23 | $0.24 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | 53 · Discontinued | $0.09 | $0.09 | $0.09 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | 55 · Aftercare only | $0.07 | $0.07 | $0.07 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.05 Typical High $0.05 | Professional | 56 · Pre-op care only | $0.04 | $0.05 | $0.05 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.23 Median $0.52 Typical High $0.55 | Facility | None | $0.23 | $0.52 | $0.55 |
UPMC Health Plan Setting Professional Modifier None Typical Low $0.23 Median $0.23 Typical High $0.26 | Professional | None | $0.23 | $0.23 | $0.26 |
United Setting Professional Modifier None Typical Low $0.18 Median $0.44 Typical High $0.81 | Professional | None | $0.18 | $0.44 | $0.81 |
Where Pennsylvania sits
The same service costs 1.6 times more in Alaska than in Montana. 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· 34th of 51
$0.44
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.