How much rates vary
Facilitymedian $2 · 10th to 90th $0 to $4Professionalmedian $0 · 10th to 90th $0 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 $0.48 Median $0.72 Typical High $4.07 | Facility | None | $0.48 | $0.72 | $4.07 |
Aetna Setting Professional Modifier None Typical Low $0.48 Median $0.48 Typical High $0.48 | Professional | None | $0.48 | $0.48 | $0.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.24 Median $0.24 Typical High $0.24 | Professional | 52 · Reduced service | $0.24 | $0.24 | $0.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.10 Median $0.10 Typical High $0.10 | Professional | 53 · Discontinued | $0.10 | $0.10 | $0.10 |
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 $0.05 Median $0.05 Typical High $0.05 | Professional | 56 · Pre-op care only | $0.05 | $0.05 | $0.05 |
Capital Blue Cross Setting Facility Modifier None Typical Low $0.51 Median $0.56 Typical High $5,011.87 | Facility | None | $0.51 | $0.56 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $0.51 Median $0.56 Typical High $0.56 | Professional | None | $0.51 | $0.56 | $0.56 |
Cigna Setting Facility Modifier None Typical Low $0.48 Median $0.79 Typical High $1.82 | Facility | None | $0.48 | $0.79 | $1.82 |
Cigna Setting Professional Modifier None Typical Low $0.48 Median $0.48 Typical High $0.48 | Professional | None | $0.48 | $0.48 | $0.48 |
Emblem Health Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.40 | Professional | None | $2.04 | $2.04 | $2.40 |
Geisinger Setting Professional Modifier None Typical Low $0.20 Median $0.20 Typical High $0.49 | Professional | None | $0.20 | $0.20 | $0.49 |
Martin's Point Setting Facility Modifier None Typical Low $0.48 Median $0.72 Typical High $4.07 | Facility | None | $0.48 | $0.72 | $4.07 |
Martin's Point Setting Professional Modifier None Typical Low $0.48 Median $0.48 Typical High $0.48 | Professional | None | $0.48 | $0.48 | $0.48 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.24 Median $0.24 Typical High $0.24 | Professional | 52 · Reduced service | $0.24 | $0.24 | $0.24 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.10 Median $0.10 Typical High $0.10 | Professional | 53 · Discontinued | $0.10 | $0.10 | $0.10 |
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 $0.05 Median $0.05 Typical High $0.05 | Professional | 56 · Pre-op care only | $0.05 | $0.05 | $0.05 |
Oscar Health Setting Professional Modifier None Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | None | $1.70 | $1.70 | $1.70 |
UPMC Health Plan Setting Facility Modifier None Typical Low $1.58 Median $2.63 Typical High $4.37 | Facility | None | $1.58 | $2.63 | $4.37 |
United Setting Professional Modifier None Typical Low $0.42 Median $0.47 Typical High $0.50 | Professional | None | $0.42 | $0.47 | $0.50 |
Where Pennsylvania sits
The same service costs 2.3 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· 34th of 51
$0.48
MT $1.05MI $0.45
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.