How much rates vary
Facilitymedian $9 · 10th to 90th $3 to $22Professionalmedian $3 · 10th to 90th $2 to $6
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 $3.16 Median $5.62 Typical High $13.49 | Facility | None | $3.16 | $5.62 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $3.31 Typical High $5.13 | Professional | None | $3.09 | $3.31 | $5.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.51 Median $1.58 Typical High $1.66 | Professional | 52 · Reduced service | $1.51 | $1.58 | $1.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.65 Typical High $0.68 | Professional | 53 · Discontinued | $0.62 | $0.65 | $0.68 |
Ambetter Setting Professional Modifier None Typical Low $2.40 Median $3.89 Typical High $3.89 | Professional | None | $2.40 | $3.89 | $3.89 |
AmeriHealth Setting Facility Modifier None Typical Low $3.80 Median $9.12 Typical High $147.91 | Facility | None | $3.80 | $9.12 | $147.91 |
Capital Blue Cross Setting Facility Modifier None Typical Low $16.60 Median $21.38 Typical High $5,011.87 | Facility | None | $16.60 | $21.38 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $6.46 | Professional | None | $3.09 | $3.09 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $2.75 Median $6.03 Typical High $11.75 | Facility | None | $2.75 | $6.03 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $4.07 Typical High $8.13 | Professional | None | $2.45 | $4.07 | $8.13 |
Emblem Health Setting Professional Modifier None Typical Low $1.41 Median $1.82 Typical High $5.62 | Professional | None | $1.41 | $1.82 | $5.62 |
Geisinger Setting Facility Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Facility | None | $3.89 | $3.89 | $3.89 |
Geisinger Setting Professional Modifier None Typical Low $2.82 Median $3.47 Typical High $5.89 | Professional | None | $2.82 | $3.47 | $5.89 |
Highmark BCBS Setting Facility Modifier None Typical Low $6.17 Median $12.02 Typical High $22.91 | Facility | None | $6.17 | $12.02 | $22.91 |
Highmark BCBS Setting Professional Modifier None Typical Low $2.34 Median $2.95 Typical High $3.24 | Professional | None | $2.34 | $2.95 | $3.24 |
Independence Blue Cross Setting Facility Modifier None Typical Low $3.89 Median $8.32 Typical High $19.05 | Facility | None | $3.89 | $8.32 | $19.05 |
Martin's Point Setting Facility Modifier None Typical Low $3.16 Median $6.17 Typical High $13.80 | Facility | None | $3.16 | $6.17 | $13.80 |
Martin's Point Setting Professional Modifier None Typical Low $3.16 Median $3.24 Typical High $5.13 | Professional | None | $3.16 | $3.24 | $5.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.58 Median $1.58 Typical High $1.66 | Professional | 52 · Reduced service | $1.58 | $1.58 | $1.66 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.63 Median $0.65 Typical High $0.68 | Professional | 53 · Discontinued | $0.63 | $0.65 | $0.68 |
UPMC Health Plan Setting Facility Modifier None Typical Low $6.61 Median $14.79 Typical High $25.70 | Facility | None | $6.61 | $14.79 | $25.70 |
UPMC Health Plan Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | None | $4.07 | $4.07 | $4.07 |
United Setting Facility Modifier None Typical Low $3.55 Median $4.68 Typical High $10.47 | Facility | None | $3.55 | $4.68 | $10.47 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.89 Typical High $5.89 | Professional | None | $2.34 | $3.89 | $5.89 |
Where Pennsylvania sits
The same service costs 8.1 times more in Vermont than in New Jersey. 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· 18th of 51
$4.57
VT $22.39NJ $2.75
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.