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 $17.78 Median $33.11 Typical High $95.50 | Facility | None | $17.78 | $33.11 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $18.62 Typical High $29.51 | Professional | None | $16.98 | $18.62 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $8.71 Typical High $9.77 | Professional | 52 · Reduced service | $8.51 | $8.71 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.55 Typical High $3.89 | Professional | 53 · Discontinued | $3.47 | $3.55 | $3.89 |
Ambetter Setting Professional Modifier None Typical Low $4.37 Median $13.18 Typical High $21.88 | Professional | None | $4.37 | $13.18 | $21.88 |
AmeriHealth Setting Facility Modifier None Typical Low $28.18 Median $79.43 Typical High $512.86 | Facility | None | $28.18 | $79.43 | $512.86 |
AmeriHealth Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $32.36 | Professional | None | $14.13 | $14.13 | $32.36 |
Capital Blue Cross Setting Facility Modifier None Typical Low $112.20 Median $144.54 Typical High $5,011.87 | Facility | None | $112.20 | $144.54 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $19.50 | Professional | None | $16.98 | $16.98 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $33.11 Typical High $66.07 | Facility | None | $15.14 | $33.11 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $24.55 Typical High $52.48 | Professional | None | $13.80 | $24.55 | $52.48 |
Emblem Health Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $31.62 | Professional | None | $10.23 | $10.23 | $31.62 |
Geisinger Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Geisinger Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $32.36 | Professional | None | $18.62 | $21.88 | $32.36 |
Highmark BCBS Setting Facility Modifier None Typical Low $30.90 Median $54.95 Typical High $109.65 | Facility | None | $30.90 | $54.95 | $109.65 |
Highmark BCBS Setting Professional Modifier None Typical Low $13.18 Median $16.22 Typical High $17.78 | Professional | None | $13.18 | $16.22 | $17.78 |
Independence Blue Cross Setting Facility Modifier None Typical Low $28.18 Median $70.79 Typical High $158.49 | Facility | None | $28.18 | $70.79 | $158.49 |
Independence Blue Cross Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Martin's Point Setting Facility Modifier None Typical Low $17.78 Median $33.88 Typical High $109.65 | Facility | None | $17.78 | $33.88 | $109.65 |
Martin's Point Setting Professional Modifier None Typical Low $16.98 Median $18.62 Typical High $30.20 | Professional | None | $16.98 | $18.62 | $30.20 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $8.71 Typical High $9.33 | Professional | 52 · Reduced service | $8.71 | $8.71 | $9.33 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $3.72 | Professional | 53 · Discontinued | $3.55 | $3.55 | $3.72 |
UPMC Health Plan Setting Facility Modifier None Typical Low $21.88 Median $53.70 Typical High $100.00 | Facility | None | $21.88 | $53.70 | $100.00 |
UPMC Health Plan Setting Professional Modifier None Typical Low $19.05 Median $21.88 Typical High $28.18 | Professional | None | $19.05 | $21.88 | $28.18 |
United Setting Facility Modifier None Typical Low $19.50 Median $21.88 Typical High $26.30 | Facility | None | $19.50 | $21.88 | $26.30 |
United Setting Professional Modifier None Typical Low $9.12 Median $13.80 Typical High $34.67 | Professional | None | $9.12 | $13.80 | $34.67 |
Where Pennsylvania sits
The same service costs 4.8 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· 15th of 51
$26.92
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.