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 $13.49 Median $25.70 Typical High $79.43 | Facility | None | $13.49 | $25.70 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $14.13 Typical High $22.39 | Professional | None | $13.18 | $14.13 | $22.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $6.76 Typical High $7.59 | Professional | 52 · Reduced service | $6.61 | $6.76 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.69 Typical High $3.02 | Professional | 53 · Discontinued | $2.63 | $2.69 | $3.02 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $10.23 Typical High $10.23 | Professional | None | $8.32 | $10.23 | $10.23 |
AmeriHealth Setting Facility Modifier None Typical Low $27.54 Median $77.62 Typical High $1,202.26 | Facility | None | $27.54 | $77.62 | $1,202.26 |
Capital Blue Cross Setting Facility Modifier None Typical Low $95.50 Median $123.03 Typical High $5,011.87 | Facility | None | $95.50 | $123.03 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $16.60 | Professional | None | $13.18 | $13.18 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $25.70 Typical High $50.12 | Facility | None | $11.75 | $25.70 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $18.62 Typical High $40.74 | Professional | None | $10.47 | $18.62 | $40.74 |
Emblem Health Setting Professional Modifier None Typical Low $6.61 Median $7.94 Typical High $24.55 | Professional | None | $6.61 | $7.94 | $24.55 |
Geisinger Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Geisinger Setting Professional Modifier None Typical Low $14.13 Median $18.62 Typical High $25.12 | Professional | None | $14.13 | $18.62 | $25.12 |
Highmark BCBS Setting Facility Modifier None Typical Low $22.91 Median $44.67 Typical High $100.00 | Facility | None | $22.91 | $44.67 | $100.00 |
Highmark BCBS Setting Professional Modifier None Typical Low $10.00 Median $12.59 Typical High $14.13 | Professional | None | $10.00 | $12.59 | $14.13 |
Independence Blue Cross Setting Facility Modifier None Typical Low $23.44 Median $69.18 Typical High $158.49 | Facility | None | $23.44 | $69.18 | $158.49 |
Martin's Point Setting Facility Modifier None Typical Low $13.49 Median $26.30 Typical High $85.11 | Facility | None | $13.49 | $26.30 | $85.11 |
Martin's Point Setting Professional Modifier None Typical Low $13.49 Median $14.13 Typical High $22.39 | Professional | None | $13.49 | $14.13 | $22.39 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $6.76 Typical High $7.08 | Professional | 52 · Reduced service | $6.76 | $6.76 | $7.08 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $2.82 | Professional | 53 · Discontinued | $2.69 | $2.69 | $2.82 |
Oscar Health Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
UPMC Health Plan Setting Facility Modifier None Typical Low $16.60 Median $43.65 Typical High $91.20 | Facility | None | $16.60 | $43.65 | $91.20 |
UPMC Health Plan Setting Professional Modifier None Typical Low $14.79 Median $16.60 Typical High $23.99 | Professional | None | $14.79 | $16.60 | $23.99 |
United Setting Facility Modifier None Typical Low $15.14 Median $19.95 Typical High $75.86 | Facility | None | $15.14 | $19.95 | $75.86 |
United Setting Professional Modifier None Typical Low $7.59 Median $12.02 Typical High $29.51 | Professional | None | $7.59 | $12.02 | $29.51 |
Where Pennsylvania sits
The same service costs 7.9 times more in Vermont than in Maryland. 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· 11th of 51
$21.88
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.