How much rates vary
Facilitymedian $12 · 10th to 90th $4 to $34Professionalmedian $4 · 10th to 90th $3 to $7
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 $4.07 Median $7.08 Typical High $26.92 | Facility | None | $4.07 | $7.08 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $4.07 Typical High $5.75 | Professional | None | $3.98 | $4.07 | $5.75 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.00 Median $2.04 Typical High $2.19 | Professional | 52 · Reduced service | $2.00 | $2.04 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.79 Median $0.81 Typical High $0.87 | Professional | 53 · Discontinued | $0.79 | $0.81 | $0.87 |
Ambetter Setting Professional Modifier None Typical Low $3.09 Median $5.01 Typical High $5.01 | Professional | None | $3.09 | $5.01 | $5.01 |
AmeriHealth Setting Facility Modifier None Typical Low $8.32 Median $23.44 Typical High $316.23 | Facility | None | $8.32 | $23.44 | $316.23 |
Capital Blue Cross Setting Facility Modifier None Typical Low $27.54 Median $36.31 Typical High $5,011.87 | Facility | None | $27.54 | $36.31 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $4.79 | Professional | None | $3.98 | $3.98 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $7.41 Typical High $15.14 | Facility | None | $3.55 | $7.41 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $5.75 Typical High $12.02 | Professional | None | $3.09 | $5.75 | $12.02 |
Emblem Health Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $7.41 | Professional | None | $2.40 | $2.40 | $7.41 |
Geisinger Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
Geisinger Setting Professional Modifier None Typical Low $4.27 Median $5.37 Typical High $7.59 | Professional | None | $4.27 | $5.37 | $7.59 |
Highmark BCBS Setting Facility Modifier None Typical Low $7.08 Median $12.88 Typical High $26.92 | Facility | None | $7.08 | $12.88 | $26.92 |
Highmark BCBS Setting Professional Modifier None Typical Low $3.02 Median $3.80 Typical High $4.17 | Professional | None | $3.02 | $3.80 | $4.17 |
Independence Blue Cross Setting Facility Modifier None Typical Low $7.08 Median $20.89 Typical High $46.77 | Facility | None | $7.08 | $20.89 | $46.77 |
Martin's Point Setting Facility Modifier None Typical Low $4.07 Median $7.76 Typical High $28.18 | Facility | None | $4.07 | $7.76 | $28.18 |
Martin's Point Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $5.75 | Professional | None | $4.07 | $4.07 | $5.75 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $2.04 Median $2.04 Typical High $2.14 | Professional | 52 · Reduced service | $2.04 | $2.04 | $2.14 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.81 Typical High $0.85 | Professional | 53 · Discontinued | $0.81 | $0.81 | $0.85 |
UPMC Health Plan Setting Facility Modifier None Typical Low $5.01 Median $16.98 Typical High $35.48 | Facility | None | $5.01 | $16.98 | $35.48 |
UPMC Health Plan Setting Professional Modifier None Typical Low $4.47 Median $5.01 Typical High $6.92 | Professional | None | $4.47 | $5.01 | $6.92 |
United Setting Facility Modifier None Typical Low $4.57 Median $5.01 Typical High $6.03 | Facility | None | $4.57 | $5.01 | $6.03 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.24 Typical High $8.51 | Professional | None | $2.14 | $3.24 | $8.51 |
Where Pennsylvania sits
The same service costs 9.3 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· 19th of 51
$5.75
VT $35.48MD $3.80
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.