How much rates vary
Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $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 $0.11 Median $0.18 Typical High $0.28 | Facility | None | $0.11 | $0.18 | $0.28 |
Aetna Setting Professional Modifier None Typical Low $0.11 Median $0.11 Typical High $0.11 | Professional | None | $0.11 | $0.11 | $0.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | 52 · Reduced service | $0.06 | $0.06 | $0.06 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 53 · Discontinued | $0.02 | $0.02 | $0.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 55 · Aftercare only | $0.02 | $0.02 | $0.02 |
AmeriHealth Setting Facility Modifier None Typical Low $0.10 Median $0.10 Typical High $0.12 | Facility | None | $0.10 | $0.10 | $0.12 |
AmeriHealth Setting Professional Modifier None Typical Low $0.10 Median $0.10 Typical High $0.16 | Professional | None | $0.10 | $0.10 | $0.16 |
Capital Blue Cross Setting Facility Modifier None Typical Low $0.10 Median $0.12 Typical High $0.14 | Facility | None | $0.10 | $0.12 | $0.14 |
Capital Blue Cross Setting Professional Modifier None Typical Low $0.11 Median $0.12 Typical High $0.12 | Professional | None | $0.11 | $0.12 | $0.12 |
Cigna Setting Facility Modifier None Typical Low $0.12 Median $0.18 Typical High $0.42 | Facility | None | $0.12 | $0.18 | $0.42 |
Cigna Setting Professional Modifier None Typical Low $0.11 Median $0.11 Typical High $0.11 | Professional | None | $0.11 | $0.11 | $0.11 |
Emblem Health Setting Professional Modifier None Typical Low $0.12 Median $0.18 Typical High $0.36 | Professional | None | $0.12 | $0.18 | $0.36 |
Geisinger Setting Facility Modifier None Typical Low $0.11 Median $0.11 Typical High $0.11 | Facility | None | $0.11 | $0.11 | $0.11 |
Geisinger Setting Professional Modifier None Typical Low $0.11 Median $0.16 Typical High $0.23 | Professional | None | $0.11 | $0.16 | $0.23 |
Highmark BCBS Setting Facility Modifier None Typical Low $0.47 Median $0.93 Typical High $1.62 | Facility | None | $0.47 | $0.93 | $1.62 |
Highmark BCBS Setting Professional Modifier None Typical Low $0.14 Median $0.65 Typical High $0.79 | Professional | None | $0.14 | $0.65 | $0.79 |
Independence Blue Cross Setting Facility Modifier None Typical Low $0.10 Median $0.10 Typical High $0.12 | Facility | None | $0.10 | $0.10 | $0.12 |
Independence Blue Cross Setting Professional Modifier None Typical Low $0.10 Median $0.10 Typical High $0.16 | Professional | None | $0.10 | $0.10 | $0.16 |
Martin's Point Setting Facility Modifier None Typical Low $0.11 Median $0.18 Typical High $0.27 | Facility | None | $0.11 | $0.18 | $0.27 |
Martin's Point Setting Professional Modifier None Typical Low $0.11 Median $0.11 Typical High $0.11 | Professional | None | $0.11 | $0.11 | $0.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | 52 · Reduced service | $0.06 | $0.06 | $0.06 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 53 · Discontinued | $0.02 | $0.02 | $0.02 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 55 · Aftercare only | $0.02 | $0.02 | $0.02 |
Oscar Health Setting Professional Modifier None Typical Low $0.30 Median $0.30 Typical High $0.30 | Professional | None | $0.30 | $0.30 | $0.30 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.12 Median $0.13 Typical High $0.14 | Facility | None | $0.12 | $0.13 | $0.14 |
UPMC Health Plan Setting Professional Modifier None Typical Low $0.12 Median $0.13 Typical High $0.13 | Professional | None | $0.12 | $0.13 | $0.13 |
United Setting Professional Modifier None Typical Low $0.14 Median $0.16 Typical High $1.32 | Professional | None | $0.14 | $0.16 | $1.32 |
Where Pennsylvania sits
The same service costs 3.1 times more in Wyoming than in Texas. 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· 24th of 51
$0.12
WY $0.34TX $0.11
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.