How much rates vary
Facilitymedian $16 · 10th to 90th $6 to $40Professionalmedian $6 · 10th to 90th $4 to $10
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 $5.62 Median $10.47 Typical High $33.88 | Facility | None | $5.62 | $10.47 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $5.62 Typical High $9.12 | Professional | None | $5.37 | $5.62 | $9.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.69 Median $2.75 Typical High $3.09 | Professional | 52 · Reduced service | $2.69 | $2.75 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.12 Typical High $1.23 | Professional | 53 · Discontinued | $1.10 | $1.12 | $1.23 |
Ambetter Setting Professional Modifier None Typical Low $3.47 Median $4.17 Typical High $6.92 | Professional | None | $3.47 | $4.17 | $6.92 |
AmeriHealth Setting Facility Modifier None Typical Low $28.18 Median $61.66 Typical High $446.68 | Facility | None | $28.18 | $61.66 | $446.68 |
AmeriHealth Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.68 | Professional | None | $4.47 | $4.47 | $4.68 |
Capital Blue Cross Setting Facility Modifier None Typical Low $38.90 Median $51.29 Typical High $5,011.87 | Facility | None | $38.90 | $51.29 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $6.76 | Professional | None | $5.37 | $5.37 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $10.47 Typical High $20.89 | Facility | None | $4.79 | $10.47 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $7.59 Typical High $16.98 | Professional | None | $4.37 | $7.59 | $16.98 |
Emblem Health Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $10.00 | Professional | None | $3.24 | $3.24 | $10.00 |
Geisinger Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
Geisinger Setting Professional Modifier None Typical Low $5.89 Median $7.76 Typical High $10.23 | Professional | None | $5.89 | $7.76 | $10.23 |
Highmark BCBS Setting Facility Modifier None Typical Low $9.77 Median $18.20 Typical High $39.81 | Facility | None | $9.77 | $18.20 | $39.81 |
Highmark BCBS Setting Professional Modifier None Typical Low $4.07 Median $5.13 Typical High $5.89 | Professional | None | $4.07 | $5.13 | $5.89 |
Independence Blue Cross Setting Facility Modifier None Typical Low $9.55 Median $29.51 Typical High $66.07 | Facility | None | $9.55 | $29.51 | $66.07 |
Independence Blue Cross Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.68 | Professional | None | $4.47 | $4.47 | $4.68 |
Martin's Point Setting Facility Modifier None Typical Low $5.50 Median $10.72 Typical High $36.31 | Facility | None | $5.50 | $10.72 | $36.31 |
Martin's Point Setting Professional Modifier None Typical Low $5.37 Median $5.62 Typical High $9.12 | Professional | None | $5.37 | $5.62 | $9.12 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $2.75 Median $2.75 Typical High $2.95 | Professional | 52 · Reduced service | $2.75 | $2.75 | $2.95 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.17 | Professional | 53 · Discontinued | $1.12 | $1.12 | $1.17 |
UPMC Health Plan Setting Facility Modifier None Typical Low $6.92 Median $16.98 Typical High $31.62 | Facility | None | $6.92 | $16.98 | $31.62 |
UPMC Health Plan Setting Professional Modifier None Typical Low $6.03 Median $6.92 Typical High $9.77 | Professional | None | $6.03 | $6.92 | $9.77 |
United Setting Facility Modifier None Typical Low $6.17 Median $6.92 Typical High $8.32 | Facility | None | $6.17 | $6.92 | $8.32 |
United Setting Professional Modifier None Typical Low $3.09 Median $4.47 Typical High $12.02 | Professional | None | $3.09 | $4.47 | $12.02 |
Where Pennsylvania sits
The same service costs 13.5 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· 17th of 51
$7.94
VT $69.18MD $5.13
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.