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 $16.98 Median $32.36 Typical High $70.79 | Facility | None | $16.98 | $32.36 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $17.78 Typical High $28.18 | Professional | None | $16.22 | $17.78 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.32 Median $8.51 Typical High $9.33 | Professional | 52 · Reduced service | $8.32 | $8.51 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.39 Typical High $3.72 | Professional | 53 · Discontinued | $3.31 | $3.39 | $3.72 |
Ambetter Setting Professional Modifier None Typical Low $12.59 Median $12.88 Typical High $20.89 | Professional | None | $12.59 | $12.88 | $20.89 |
AmeriHealth Setting Facility Modifier None Typical Low $46.77 Median $1,621.81 Typical High $2,754.23 | Facility | None | $46.77 | $1,621.81 | $2,754.23 |
AmeriHealth Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Capital Blue Cross Setting Facility Modifier None Typical Low $120.23 Median $154.88 Typical High $5,011.87 | Facility | None | $120.23 | $154.88 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $20.42 | Professional | None | $16.22 | $16.22 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $31.62 Typical High $63.10 | Facility | None | $14.45 | $31.62 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $23.99 Typical High $51.29 | Professional | None | $13.18 | $23.99 | $51.29 |
Emblem Health Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $30.20 | Professional | None | $9.77 | $9.77 | $30.20 |
Geisinger Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Geisinger Setting Professional Modifier None Typical Low $17.78 Median $23.44 Typical High $31.62 | Professional | None | $17.78 | $23.44 | $31.62 |
Highmark BCBS Setting Facility Modifier None Typical Low $28.18 Median $56.23 Typical High $117.49 | Facility | None | $28.18 | $56.23 | $117.49 |
Highmark BCBS Setting Professional Modifier None Typical Low $12.59 Median $15.49 Typical High $17.78 | Professional | None | $12.59 | $15.49 | $17.78 |
Independence Blue Cross Setting Facility Modifier None Typical Low $18.20 Median $912.01 Typical High $1,949.84 | Facility | None | $18.20 | $912.01 | $1,949.84 |
Independence Blue Cross Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Martin's Point Setting Facility Modifier None Typical Low $16.98 Median $32.36 Typical High $70.79 | Facility | None | $16.98 | $32.36 | $70.79 |
Martin's Point Setting Professional Modifier None Typical Low $16.98 Median $17.78 Typical High $28.84 | Professional | None | $16.98 | $17.78 | $28.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $8.51 Typical High $8.91 | Professional | 52 · Reduced service | $8.51 | $8.51 | $8.91 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $3.55 | Professional | 53 · Discontinued | $3.39 | $3.39 | $3.55 |
UPMC Health Plan Setting Facility Modifier None Typical Low $20.89 Median $56.23 Typical High $117.49 | Facility | None | $20.89 | $56.23 | $117.49 |
UPMC Health Plan Setting Professional Modifier None Typical Low $18.20 Median $20.89 Typical High $29.51 | Professional | None | $18.20 | $20.89 | $29.51 |
United Setting Facility Modifier None Typical Low $18.62 Median $25.12 Typical High $112.20 | Facility | None | $18.62 | $25.12 | $112.20 |
United Setting Professional Modifier None Typical Low $9.33 Median $13.49 Typical High $36.31 | Professional | None | $9.33 | $13.49 | $36.31 |
Where Pennsylvania sits
The same service costs 7.9 times more in Vermont 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· 24th of 51
$22.91
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.