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 $239.88 Median $537.03 Typical High $1,445.44 | Facility | None | $239.88 | $537.03 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $141.25 Typical High $323.59 | Professional | None (both parts) | $87.10 | $141.25 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $346.74 | Professional | 26 · Professional part | $331.13 | $331.13 | $346.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $165.96 Typical High $173.78 | Professional | 52 · Reduced service | $162.18 | $165.96 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $66.07 Typical High $69.18 | Professional | 53 · Discontinued | $64.57 | $66.07 | $69.18 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $288.40 Median $316.23 Typical High $398.11 | Professional | None (both parts) | $288.40 | $316.23 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $562.34 Typical High $933.25 | Facility | None | $398.11 | $562.34 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None (both parts) | $1,949.84 | $1,949.84 | $1,949.84 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $588.84 | Professional | None (both parts) | $537.03 | $537.03 | $588.84 |
Geisinger Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $123.03 Median $407.38 Typical High $741.31 | Professional | None (both parts) | $123.03 | $407.38 | $741.31 |
Highmark BCBS Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $1,096.48 | Facility | None | $851.14 | $851.14 | $1,096.48 |
Martin's Point Setting Facility Modifier None Typical Low $316.23 Median $575.44 Typical High $1,445.44 | Facility | None | $316.23 | $575.44 | $1,445.44 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $323.59 | Professional | None (both parts) | $87.10 | $109.65 | $323.59 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $346.74 | Professional | 26 · Professional part | $331.13 | $331.13 | $346.74 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $165.96 Typical High $173.78 | Professional | 52 · Reduced service | $162.18 | $165.96 | $173.78 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $66.07 Typical High $69.18 | Professional | 53 · Discontinued | $64.57 | $66.07 | $69.18 |
UPMC Health Plan Setting Facility Modifier None Typical Low $407.38 Median $446.68 Typical High $1,000.00 | Facility | None | $407.38 | $446.68 | $1,000.00 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $407.38 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $407.38 | $446.68 | $446.68 |
United Setting Facility Modifier None Typical Low $363.08 Median $407.38 Typical High $489.78 | Facility | None | $363.08 | $407.38 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $100.00 Typical High $251.19 | Professional | None (both parts) | $69.18 | $100.00 | $251.19 |
Where Pennsylvania sits
The same service costs 22.4 times more in Texas than in Indiana. 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· 19th of 51
$316
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.