How much rates vary
Facilitymedian $32 · 10th to 90th $12 to $89Professionalmedian $11 · 10th to 90th $7 to $20
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 $10.96 Median $20.89 Typical High $46.77 | Facility | None | $10.96 | $20.89 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $11.22 Typical High $16.22 | Professional | None | $10.72 | $11.22 | $16.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $5.50 Typical High $6.17 | Professional | 52 · Reduced service | $5.37 | $5.50 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.24 Typical High $2.45 | Professional | 53 · Discontinued | $2.14 | $2.24 | $2.45 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $13.80 Typical High $13.80 | Professional | None | $8.32 | $13.80 | $13.80 |
AmeriHealth Setting Facility Modifier None Typical Low $26.92 Median $66.07 Typical High $1,584.89 | Facility | None | $26.92 | $66.07 | $1,584.89 |
Capital Blue Cross Setting Facility Modifier None Typical Low $77.62 Median $102.33 Typical High $5,011.87 | Facility | None | $77.62 | $102.33 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $13.49 | Professional | None | $10.72 | $10.72 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $20.89 Typical High $40.74 | Facility | None | $9.55 | $20.89 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $14.13 Typical High $33.11 | Professional | None | $8.51 | $14.13 | $33.11 |
Emblem Health Setting Professional Modifier None Typical Low $5.13 Median $6.46 Typical High $19.95 | Professional | None | $5.13 | $6.46 | $19.95 |
Geisinger Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Geisinger Setting Professional Modifier None Typical Low $11.75 Median $15.14 Typical High $20.42 | Professional | None | $11.75 | $15.14 | $20.42 |
Highmark BCBS Setting Facility Modifier None Typical Low $19.05 Median $37.15 Typical High $74.13 | Facility | None | $19.05 | $37.15 | $74.13 |
Highmark BCBS Setting Professional Modifier None Typical Low $8.13 Median $10.23 Typical High $11.75 | Professional | None | $8.13 | $10.23 | $11.75 |
Independence Blue Cross Setting Facility Modifier None Typical Low $23.44 Median $61.66 Typical High $131.83 | Facility | None | $23.44 | $61.66 | $131.83 |
Martin's Point Setting Facility Modifier None Typical Low $10.96 Median $20.89 Typical High $48.98 | Facility | None | $10.96 | $20.89 | $48.98 |
Martin's Point Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $15.85 | Professional | None | $10.96 | $10.96 | $15.85 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $5.50 Median $5.50 Typical High $5.75 | Professional | 52 · Reduced service | $5.50 | $5.50 | $5.75 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $2.34 | Professional | 53 · Discontinued | $2.24 | $2.24 | $2.34 |
Oscar Health Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
UPMC Health Plan Setting Facility Modifier None Typical Low $31.62 Median $43.65 Typical High $77.62 | Facility | None | $31.62 | $43.65 | $77.62 |
UPMC Health Plan Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
United Setting Facility Modifier None Typical Low $4.79 Median $13.80 Typical High $36.31 | Facility | None | $4.79 | $13.80 | $36.31 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.91 Typical High $23.99 | Professional | None | $5.75 | $8.91 | $23.99 |
Where Pennsylvania sits
The same service costs 9.5 times more in Vermont than in Rhode Island. 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· 12th of 51
$17.78
VT $97.72RI $10.23
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.