How much rates vary
Facilitymedian $45 · 10th to 90th $16 to $129Professionalmedian $16 · 10th to 90th $10 to $28
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 $15.49 Median $29.51 Typical High $83.18 | Facility | None | $15.49 | $29.51 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $16.22 Typical High $25.70 | Professional | None | $15.14 | $16.22 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.41 Median $7.76 Typical High $8.51 | Professional | 52 · Reduced service | $7.41 | $7.76 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.09 Typical High $3.39 | Professional | 53 · Discontinued | $3.02 | $3.09 | $3.39 |
Ambetter Setting Professional Modifier None Typical Low $11.75 Median $19.05 Typical High $19.05 | Professional | None | $11.75 | $19.05 | $19.05 |
AmeriHealth Setting Facility Modifier None Typical Low $32.36 Median $89.13 Typical High $549.54 | Facility | None | $32.36 | $89.13 | $549.54 |
Capital Blue Cross Setting Facility Modifier None Typical Low $109.65 Median $141.25 Typical High $5,011.87 | Facility | None | $109.65 | $141.25 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $18.62 | Professional | None | $14.79 | $14.79 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $28.84 Typical High $57.54 | Facility | None | $13.18 | $28.84 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $19.50 Typical High $45.71 | Professional | None | $11.75 | $19.50 | $45.71 |
Emblem Health Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $27.54 | Professional | None | $8.91 | $8.91 | $27.54 |
Geisinger Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Geisinger Setting Professional Modifier None Typical Low $16.22 Median $21.38 Typical High $28.18 | Professional | None | $16.22 | $21.38 | $28.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $29.51 Median $53.70 Typical High $109.65 | Facility | None | $29.51 | $53.70 | $109.65 |
Highmark BCBS Setting Professional Modifier None Typical Low $11.48 Median $14.13 Typical High $14.13 | Professional | None | $11.48 | $14.13 | $14.13 |
Independence Blue Cross Setting Facility Modifier None Typical Low $26.30 Median $79.43 Typical High $169.82 | Facility | None | $26.30 | $79.43 | $169.82 |
Martin's Point Setting Facility Modifier None Typical Low $15.49 Median $32.36 Typical High $83.18 | Facility | None | $15.49 | $32.36 | $83.18 |
Martin's Point Setting Professional Modifier None Typical Low $15.49 Median $16.22 Typical High $26.30 | Professional | None | $15.49 | $16.22 | $26.30 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $7.76 Median $7.76 Typical High $8.13 | Professional | 52 · Reduced service | $7.76 | $7.76 | $8.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.24 | Professional | 53 · Discontinued | $3.09 | $3.09 | $3.24 |
Oscar Health Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
UPMC Health Plan Setting Facility Modifier None Typical Low $19.05 Median $58.88 Typical High $123.03 | Facility | None | $19.05 | $58.88 | $123.03 |
UPMC Health Plan Setting Professional Modifier None Typical Low $16.60 Median $19.05 Typical High $26.92 | Professional | None | $16.60 | $19.05 | $26.92 |
United Setting Facility Modifier None Typical Low $16.98 Median $19.05 Typical High $22.91 | Facility | None | $16.98 | $19.05 | $22.91 |
United Setting Professional Modifier None Typical Low $8.51 Median $12.30 Typical High $33.11 | Professional | None | $8.51 | $12.30 | $33.11 |
Where Pennsylvania sits
The same service costs 5.0 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· 17th of 51
$23.44
VT $70.79MD $14.13
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.