How much rates vary
Facilitymedian $43 · 10th to 90th $15 to $117Professionalmedian $15 · 10th to 90th $10 to $27
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 $14.45 Median $27.54 Typical High $52.48 | Facility | None | $14.45 | $27.54 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $15.14 Typical High $22.39 | Professional | None | $14.13 | $15.14 | $22.39 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $7.24 Typical High $7.59 | Professional | 52 · Reduced service | $7.08 | $7.24 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.88 Typical High $3.02 | Professional | 53 · Discontinued | $2.82 | $2.88 | $3.02 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $28.84 Typical High $28.84 | Professional | None | $10.96 | $28.84 | $28.84 |
AmeriHealth Setting Facility Modifier None Typical Low $38.02 Median $93.33 Typical High $660.69 | Facility | None | $38.02 | $93.33 | $660.69 |
AmeriHealth Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Capital Blue Cross Setting Facility Modifier None Typical Low $95.50 Median $125.89 Typical High $5,011.87 | Facility | None | $95.50 | $125.89 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $16.60 | Professional | None | $14.13 | $14.13 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $26.92 Typical High $53.70 | Facility | None | $12.59 | $26.92 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $20.42 Typical High $40.74 | Professional | None | $10.47 | $20.42 | $40.74 |
Emblem Health Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $25.70 | Professional | None | $8.51 | $8.51 | $25.70 |
Geisinger Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Geisinger Setting Professional Modifier None Typical Low $15.14 Median $19.05 Typical High $26.92 | Professional | None | $15.14 | $19.05 | $26.92 |
Highmark BCBS Setting Facility Modifier None Typical Low $26.30 Median $46.77 Typical High $100.00 | Facility | None | $26.30 | $46.77 | $100.00 |
Highmark BCBS Setting Professional Modifier None Typical Low $10.72 Median $13.49 Typical High $14.79 | Professional | None | $10.72 | $13.49 | $14.79 |
Independence Blue Cross Setting Facility Modifier None Typical Low $42.66 Median $85.11 Typical High $660.69 | Facility | None | $42.66 | $85.11 | $660.69 |
Independence Blue Cross Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Martin's Point Setting Facility Modifier None Typical Low $14.45 Median $30.90 Typical High $53.70 | Facility | None | $14.45 | $30.90 | $53.70 |
Martin's Point Setting Professional Modifier None Typical Low $14.45 Median $15.14 Typical High $22.39 | Professional | None | $14.45 | $15.14 | $22.39 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $7.24 Median $7.24 Typical High $7.59 | Professional | 52 · Reduced service | $7.24 | $7.24 | $7.59 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $3.02 | Professional | 53 · Discontinued | $2.88 | $2.88 | $3.02 |
UPMC Health Plan Setting Facility Modifier None Typical Low $17.78 Median $56.23 Typical High $117.49 | Facility | None | $17.78 | $56.23 | $117.49 |
UPMC Health Plan Setting Professional Modifier None Typical Low $15.85 Median $17.78 Typical High $23.99 | Professional | None | $15.85 | $17.78 | $23.99 |
United Setting Facility Modifier None Typical Low $16.22 Median $18.20 Typical High $21.38 | Facility | None | $16.22 | $18.20 | $21.38 |
United Setting Professional Modifier None Typical Low $8.13 Median $12.30 Typical High $36.31 | Professional | None | $8.13 | $12.30 | $36.31 |
Where Pennsylvania sits
The same service costs 10.2 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· 12th of 51
$22.39
VT $138NJ $13.49
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.