How much rates vary
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 $14.13 Median $35.48 Typical High $79.43 | Facility | None | $14.13 | $35.48 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $14.13 Typical High $16.60 | Professional | None | $12.59 | $14.13 | $16.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $7.08 Typical High $7.41 | Professional | 52 · Reduced service | $6.76 | $7.08 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.82 Typical High $2.95 | Professional | 53 · Discontinued | $2.69 | $2.82 | $2.95 |
Ambetter Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
AmeriHealth Setting Facility Modifier None Typical Low $20.89 Median $60.26 Typical High $5,754.40 | Facility | None | $20.89 | $60.26 | $5,754.40 |
AmeriHealth Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
Capital Blue Cross Setting Facility Modifier None Typical Low $74.13 Median $95.50 Typical High $5,011.87 | Facility | None | $74.13 | $95.50 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $14.79 | Professional | None | $13.49 | $13.49 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $25.12 Typical High $52.48 | Facility | None | $12.02 | $25.12 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $16.60 Typical High $31.62 | Professional | None | $8.13 | $16.60 | $31.62 |
Emblem Health Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $25.12 | Professional | None | $8.13 | $8.13 | $25.12 |
Geisinger Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Geisinger Setting Professional Modifier None Typical Low $12.59 Median $15.85 Typical High $25.70 | Professional | None | $12.59 | $15.85 | $25.70 |
Highmark BCBS Setting Facility Modifier None Typical Low $25.12 Median $45.71 Typical High $107.15 | Facility | None | $25.12 | $45.71 | $107.15 |
Highmark BCBS Setting Professional Modifier None Typical Low $10.47 Median $11.75 Typical High $14.79 | Professional | None | $10.47 | $11.75 | $14.79 |
Independence Blue Cross Setting Facility Modifier None Typical Low $21.38 Median $52.48 Typical High $117.49 | Facility | None | $21.38 | $52.48 | $117.49 |
Independence Blue Cross Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
Martin's Point Setting Facility Modifier None Typical Low $14.13 Median $37.15 Typical High $81.28 | Facility | None | $14.13 | $37.15 | $81.28 |
Martin's Point Setting Professional Modifier None Typical Low $12.59 Median $14.13 Typical High $16.98 | Professional | None | $12.59 | $14.13 | $16.98 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $7.08 Typical High $7.41 | Professional | 52 · Reduced service | $7.08 | $7.08 | $7.41 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $2.95 | Professional | 53 · Discontinued | $2.82 | $2.82 | $2.95 |
UPMC Health Plan Setting Facility Modifier None Typical Low $30.20 Median $51.29 Typical High $91.20 | Facility | None | $30.20 | $51.29 | $91.20 |
UPMC Health Plan Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
United Setting Facility Modifier None Typical Low $15.49 Median $17.38 Typical High $20.89 | Facility | None | $15.49 | $17.38 | $20.89 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.96 Typical High $25.70 | Professional | None | $7.24 | $10.96 | $25.70 |
Where Pennsylvania sits
The same service costs 20.4 times more in Vermont than in Kentucky. 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
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.