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 $10.47 Median $14.79 Typical High $33.88 | Facility | None | $10.47 | $14.79 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.47 Typical High $15.14 | Professional | None | $10.00 | $10.47 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $5.25 Typical High $5.75 | Professional | 52 · Reduced service | $5.13 | $5.25 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.09 Typical High $2.29 | Professional | 53 · Discontinued | $2.04 | $2.09 | $2.29 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
AmeriHealth Setting Facility Modifier None Typical Low $28.84 Median $776.25 Typical High $1,318.26 | Facility | None | $28.84 | $776.25 | $1,318.26 |
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 $10.00 Median $10.00 Typical High $12.88 | Professional | None | $10.00 | $10.00 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $19.50 Typical High $38.90 | Facility | None | $9.12 | $19.50 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $14.45 Typical High $31.62 | Professional | None | $8.13 | $14.45 | $31.62 |
Emblem Health Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $18.62 | Professional | None | $6.03 | $6.03 | $18.62 |
Geisinger Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Geisinger Setting Professional Modifier None Typical Low $10.96 Median $14.45 Typical High $19.50 | Professional | None | $10.96 | $14.45 | $19.50 |
Highmark BCBS Setting Facility Modifier None Typical Low $22.91 Median $40.74 Typical High $74.13 | Facility | None | $22.91 | $40.74 | $74.13 |
Highmark BCBS Setting Professional Modifier None Typical Low $7.76 Median $8.71 Typical High $21.88 | Professional | None | $7.76 | $8.71 | $21.88 |
Independence Blue Cross Setting Facility Modifier None Typical Low $23.44 Median $53.70 Typical High $776.25 | Facility | None | $23.44 | $53.70 | $776.25 |
Martin's Point Setting Facility Modifier None Typical Low $10.47 Median $10.96 Typical High $38.02 | Facility | None | $10.47 | $10.96 | $38.02 |
Martin's Point Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $12.30 | Professional | None | $10.47 | $10.47 | $12.30 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $5.25 Typical High $5.50 | Professional | 52 · Reduced service | $5.25 | $5.25 | $5.50 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.09 Typical High $2.19 | Professional | 53 · Discontinued | $2.09 | $2.09 | $2.19 |
Oscar Health Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
UPMC Health Plan Setting Facility Modifier None Typical Low $12.88 Median $32.36 Typical High $67.61 | Facility | None | $12.88 | $32.36 | $67.61 |
UPMC Health Plan Setting Professional Modifier None Typical Low $11.48 Median $12.88 Typical High $18.20 | Professional | None | $11.48 | $12.88 | $18.20 |
United Setting Facility Modifier None Typical Low $4.47 Median $12.88 Typical High $15.49 | Facility | None | $4.47 | $12.88 | $15.49 |
United Setting Professional Modifier None Typical Low $5.75 Median $9.33 Typical High $22.39 | Professional | None | $5.75 | $9.33 | $22.39 |
Where Pennsylvania sits
The same service costs 3.1 times more in Kansas 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· 27th of 51
$12.88
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.