How much rates vary
Facilitymedian $12 · 10th to 90th $4 to $32Professionalmedian $4 · 10th to 90th $3 to $7
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 $3.89 Median $8.91 Typical High $26.30 | Facility | None | $3.89 | $8.91 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $4.07 Typical High $6.31 | Professional | None | $3.72 | $4.07 | $6.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.86 Median $1.95 Typical High $2.14 | Professional | 52 · Reduced service | $1.86 | $1.95 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.78 Typical High $0.85 | Professional | 53 · Discontinued | $0.76 | $0.78 | $0.85 |
Ambetter Setting Professional Modifier None Typical Low $2.82 Median $2.88 Typical High $4.79 | Professional | None | $2.82 | $2.88 | $4.79 |
AmeriHealth Setting Facility Modifier None Typical Low $7.59 Median $21.38 Typical High $588.84 | Facility | None | $7.59 | $21.38 | $588.84 |
AmeriHealth Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
Capital Blue Cross Setting Facility Modifier None Typical Low $26.92 Median $35.48 Typical High $5,011.87 | Facility | None | $26.92 | $35.48 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $10.72 | Professional | None | $3.72 | $3.72 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $7.41 Typical High $14.45 | Facility | None | $3.31 | $7.41 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $4.90 Typical High $9.77 | Professional | None | $2.95 | $4.90 | $9.77 |
Emblem Health Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $6.92 | Professional | None | $2.24 | $2.24 | $6.92 |
Geisinger Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Facility | None | $4.79 | $4.79 | $4.79 |
Geisinger Setting Professional Modifier None Typical Low $4.07 Median $5.25 Typical High $7.08 | Professional | None | $4.07 | $5.25 | $7.08 |
Highmark BCBS Setting Facility Modifier None Typical Low $6.46 Median $13.80 Typical High $28.84 | Facility | None | $6.46 | $13.80 | $28.84 |
Highmark BCBS Setting Professional Modifier None Typical Low $2.82 Median $3.55 Typical High $4.07 | Professional | None | $2.82 | $3.55 | $4.07 |
Independence Blue Cross Setting Facility Modifier None Typical Low $6.61 Median $19.05 Typical High $43.65 | Facility | None | $6.61 | $19.05 | $43.65 |
Independence Blue Cross Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
Martin's Point Setting Facility Modifier None Typical Low $3.89 Median $9.77 Typical High $27.54 | Facility | None | $3.89 | $9.77 | $27.54 |
Martin's Point Setting Professional Modifier None Typical Low $3.89 Median $4.07 Typical High $6.31 | Professional | None | $3.89 | $4.07 | $6.31 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.95 Median $1.95 Typical High $2.04 | Professional | 52 · Reduced service | $1.95 | $1.95 | $2.04 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.78 Typical High $0.81 | Professional | 53 · Discontinued | $0.78 | $0.78 | $0.81 |
UPMC Health Plan Setting Facility Modifier None Typical Low $10.96 Median $20.89 Typical High $37.15 | Facility | None | $10.96 | $20.89 | $37.15 |
UPMC Health Plan Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
United Setting Facility Modifier None Typical Low $4.27 Median $4.79 Typical High $5.75 | Facility | None | $4.27 | $4.79 | $5.75 |
United Setting Professional Modifier None Typical Low $2.82 Median $4.79 Typical High $8.13 | Professional | None | $2.82 | $4.79 | $8.13 |
Where Pennsylvania sits
The same service costs 12.9 times more in Vermont than in Washington, DC. 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
$6.31
VT $48.98DC $3.80
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.