How much rates vary
Facilitymedian $2 · 10th to 90th $1 to $5Professionalmedian $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 $1.32 Median $2.34 Typical High $5.50 | Facility | None | $1.32 | $2.34 | $5.50 |
Aetna Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | None | $1.32 | $1.32 | $1.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.66 Median $0.66 Typical High $0.66 | Professional | 52 · Reduced service | $0.66 | $0.66 | $0.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.26 Median $0.26 Typical High $0.26 | Professional | 53 · Discontinued | $0.26 | $0.26 | $0.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | 55 · Aftercare only | $0.20 | $0.20 | $0.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | 56 · Pre-op care only | $0.13 | $0.13 | $0.13 |
Ambetter Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | None | $1.32 | $1.32 | $1.32 |
AmeriHealth Setting Facility Modifier None Typical Low $1.45 Median $1.45 Typical High $2.04 | Facility | None | $1.45 | $1.45 | $2.04 |
Capital Blue Cross Setting Facility Modifier None Typical Low $1.23 Median $1.41 Typical High $1.70 | Facility | None | $1.23 | $1.41 | $1.70 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1.23 Median $1.35 Typical High $1.35 | Professional | None | $1.23 | $1.35 | $1.35 |
Cigna Setting Facility Modifier None Typical Low $1.29 Median $2.19 Typical High $5.01 | Facility | None | $1.29 | $2.19 | $5.01 |
Cigna Setting Professional Modifier None Typical Low $1.29 Median $1.29 Typical High $1.29 | Professional | None | $1.29 | $1.29 | $1.29 |
Emblem Health Setting Professional Modifier None Typical Low $1.35 Median $1.41 Typical High $5.37 | Professional | None | $1.35 | $1.41 | $5.37 |
Geisinger Setting Facility Modifier None Typical Low $1.32 Median $1.32 Typical High $1.32 | Facility | None | $1.32 | $1.32 | $1.32 |
Geisinger Setting Professional Modifier None Typical Low $1.32 Median $2.19 Typical High $10.23 | Professional | None | $1.32 | $2.19 | $10.23 |
Highmark BCBS Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | None | $1.51 | $1.51 | $1.51 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1.45 Median $1.82 Typical High $2.09 | Facility | None | $1.45 | $1.82 | $2.09 |
Martin's Point Setting Facility Modifier None Typical Low $1.32 Median $2.34 Typical High $4.47 | Facility | None | $1.32 | $2.34 | $4.47 |
Martin's Point Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | None | $1.32 | $1.32 | $1.32 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.66 Median $0.66 Typical High $0.66 | Professional | 52 · Reduced service | $0.66 | $0.66 | $0.66 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.26 Median $0.26 Typical High $0.26 | Professional | 53 · Discontinued | $0.26 | $0.26 | $0.26 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | 55 · Aftercare only | $0.20 | $0.20 | $0.20 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | 56 · Pre-op care only | $0.13 | $0.13 | $0.13 |
Oscar Health Setting Professional Modifier None Typical Low $4.07 Median $10.00 Typical High $10.00 | Professional | None | $4.07 | $10.00 | $10.00 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1.51 Median $1.51 Typical High $2.00 | Facility | None | $1.51 | $1.51 | $2.00 |
UPMC Health Plan Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $2.00 | Professional | None | $1.74 | $1.74 | $2.00 |
United Setting Professional Modifier None Typical Low $1.26 Median $1.41 Typical High $1.70 | Professional | None | $1.26 | $1.41 | $1.70 |
Where Pennsylvania sits
The same service costs 1.9 times more in Wyoming 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· 33rd of 51
$1.32
WY $2.45FL $1.32
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.