How much rates vary
Facilitymedian $1 · 10th to 90th $0 to $7Professionalmedian $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 $0.34 Median $0.35 Typical High $0.52 | Facility | None | $0.34 | $0.35 | $0.52 |
Aetna Setting Professional Modifier None Typical Low $0.35 Median $0.35 Typical High $0.35 | Professional | None | $0.35 | $0.35 | $0.35 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | 52 · Reduced service | $0.18 | $0.18 | $0.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | 53 · Discontinued | $0.07 | $0.07 | $0.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 55 · Aftercare only | $0.05 | $0.05 | $0.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.04 | $0.04 | $0.04 |
AmeriHealth Setting Facility Modifier None Typical Low $0.50 Median $0.50 Typical High $25.12 | Facility | None | $0.50 | $0.50 | $25.12 |
Capital Blue Cross Setting Facility Modifier None Typical Low $0.43 Median $0.49 Typical High $5,011.87 | Facility | None | $0.43 | $0.49 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $0.44 Median $0.49 Typical High $0.49 | Professional | None | $0.44 | $0.49 | $0.49 |
Cigna Setting Facility Modifier None Typical Low $0.35 Median $0.58 Typical High $1.35 | Facility | None | $0.35 | $0.58 | $1.35 |
Cigna Setting Professional Modifier None Typical Low $0.35 Median $0.35 Typical High $0.35 | Professional | None | $0.35 | $0.35 | $0.35 |
Emblem Health Setting Professional Modifier None Typical Low $0.46 Median $0.50 Typical High $0.65 | Professional | None | $0.46 | $0.50 | $0.65 |
Geisinger Setting Professional Modifier None Typical Low $0.03 Median $0.03 Typical High $0.07 | Professional | None | $0.03 | $0.03 | $0.07 |
Highmark BCBS Setting Facility Modifier None Typical Low $0.95 Median $2.04 Typical High $7.24 | Facility | None | $0.95 | $2.04 | $7.24 |
Independence Blue Cross Setting Facility Modifier None Typical Low $0.50 Median $0.50 Typical High $18.20 | Facility | None | $0.50 | $0.50 | $18.20 |
Martin's Point Setting Facility Modifier None Typical Low $0.34 Median $0.35 Typical High $0.52 | Facility | None | $0.34 | $0.35 | $0.52 |
Martin's Point Setting Professional Modifier None Typical Low $0.35 Median $0.35 Typical High $0.35 | Professional | None | $0.35 | $0.35 | $0.35 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | 52 · Reduced service | $0.18 | $0.18 | $0.18 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | 53 · Discontinued | $0.07 | $0.07 | $0.07 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 55 · Aftercare only | $0.05 | $0.05 | $0.05 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.04 | $0.04 | $0.04 |
Oscar Health Setting Professional Modifier None Typical Low $0.60 Median $0.79 Typical High $0.79 | Professional | None | $0.60 | $0.79 | $0.79 |
UPMC Health Plan Setting Facility Modifier None Typical Low $0.04 Median $0.10 Typical High $0.11 | Facility | None | $0.04 | $0.10 | $0.11 |
United Setting Professional Modifier None Typical Low $0.31 Median $0.34 Typical High $0.38 | Professional | None | $0.31 | $0.34 | $0.38 |
Where Pennsylvania sits
The same service costs 1.6 times more in Montana than in Michigan. 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· 27th of 51
$0.35
MT $0.52MI $0.33
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.