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 $97.72 Median $151.36 Typical High $316.23 | Facility | None | $97.72 | $151.36 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $97.72 Typical High $109.65 | Professional | None | $95.50 | $97.72 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $48.98 Typical High $51.29 | Professional | 52 · Reduced service | $47.86 | $48.98 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.50 Typical High $20.89 | Professional | 53 · Discontinued | $19.05 | $19.50 | $20.89 |
AmeriHealth Setting Facility Modifier None Typical Low $107.15 Median $213.80 Typical High $1,122.02 | Facility | None | $107.15 | $213.80 | $1,122.02 |
Capital Blue Cross Setting Facility Modifier None Typical Low $645.65 Median $831.76 Typical High $5,011.87 | Facility | None | $645.65 | $831.76 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $85.11 Median $95.50 Typical High $398.11 | Professional | None | $85.11 | $95.50 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $199.53 Typical High $363.08 | Facility | None | $120.23 | $199.53 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $138.04 Typical High $251.19 | Professional | None | $72.44 | $138.04 | $251.19 |
Emblem Health Setting Professional Modifier None Typical Low $72.44 Median $158.49 Typical High $158.49 | Professional | None | $72.44 | $158.49 | $158.49 |
Geisinger Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Geisinger Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $288.40 | Professional | None | $123.03 | $177.83 | $288.40 |
Highmark BCBS Setting Facility Modifier None Typical Low $114.82 Median $275.42 Typical High $467.74 | Facility | None | $114.82 | $275.42 | $467.74 |
Independence Blue Cross Setting Facility Modifier None Typical Low $123.03 Median $208.93 Typical High $446.68 | Facility | None | $123.03 | $208.93 | $446.68 |
Independence Blue Cross Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Martin's Point Setting Facility Modifier None Typical Low $97.72 Median $128.82 Typical High $354.81 | Facility | None | $97.72 | $128.82 | $354.81 |
Martin's Point Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | None | $97.72 | $97.72 | $109.65 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $48.98 Typical High $51.29 | Professional | 52 · Reduced service | $48.98 | $48.98 | $51.29 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $20.89 | Professional | 53 · Discontinued | $19.50 | $19.50 | $20.89 |
UPMC Health Plan Setting Facility Modifier None Typical Low $123.03 Median $549.54 Typical High $1,202.26 | Facility | None | $123.03 | $549.54 | $1,202.26 |
UPMC Health Plan Setting Professional Modifier None Typical Low $123.03 Median $181.97 Typical High $181.97 | Professional | None | $123.03 | $181.97 | $181.97 |
United Setting Facility Modifier None Typical Low $109.65 Median $123.03 Typical High $144.54 | Facility | None | $109.65 | $123.03 | $144.54 |
United Setting Professional Modifier None Typical Low $51.29 Median $72.44 Typical High $169.82 | Professional | None | $51.29 | $72.44 | $169.82 |
Where Pennsylvania sits
The same service costs 4.4 times more in Alaska than in Alabama. 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· 39th of 51
$102
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.