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 $9.33 Median $17.38 Typical High $40.74 | Facility | None | $9.33 | $17.38 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $9.77 Typical High $15.49 | Professional | None | $8.91 | $9.77 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.47 Median $4.57 Typical High $5.13 | Professional | 52 · Reduced service | $4.47 | $4.57 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.86 Typical High $2.04 | Professional | 53 · Discontinued | $1.82 | $1.86 | $2.04 |
Ambetter Setting Professional Modifier None Typical Low $6.76 Median $6.92 Typical High $6.92 | Professional | None | $6.76 | $6.92 | $6.92 |
AmeriHealth Setting Facility Modifier None Typical Low $19.50 Median $54.95 Typical High $676.08 | Facility | None | $19.50 | $54.95 | $676.08 |
Capital Blue Cross Setting Facility Modifier None Typical Low $64.57 Median $85.11 Typical High $5,011.87 | Facility | None | $64.57 | $85.11 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $11.22 | Professional | None | $8.91 | $8.91 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $17.38 Typical High $34.67 | Facility | None | $7.94 | $17.38 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $12.88 Typical High $27.54 | Professional | None | $7.08 | $12.88 | $27.54 |
Emblem Health Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $16.60 | Professional | None | $5.37 | $5.37 | $16.60 |
Geisinger Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Geisinger Setting Professional Modifier None Typical Low $9.77 Median $12.59 Typical High $16.98 | Professional | None | $9.77 | $12.59 | $16.98 |
Highmark BCBS Setting Facility Modifier None Typical Low $16.60 Median $32.36 Typical High $69.18 | Facility | None | $16.60 | $32.36 | $69.18 |
Highmark BCBS Setting Professional Modifier None Typical Low $6.76 Median $8.51 Typical High $8.51 | Professional | None | $6.76 | $8.51 | $8.51 |
Independence Blue Cross Setting Facility Modifier None Typical Low $15.85 Median $51.29 Typical High $562.34 | Facility | None | $15.85 | $51.29 | $562.34 |
Martin's Point Setting Facility Modifier None Typical Low $9.33 Median $17.78 Typical High $50.12 | Facility | None | $9.33 | $17.78 | $50.12 |
Martin's Point Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $13.49 | Professional | None | $9.33 | $9.33 | $13.49 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $4.57 Median $4.57 Typical High $4.79 | Professional | 52 · Reduced service | $4.57 | $4.57 | $4.79 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $1.95 | Professional | 53 · Discontinued | $1.86 | $1.86 | $1.95 |
UPMC Health Plan Setting Facility Modifier None Typical Low $11.48 Median $37.15 Typical High $77.62 | Facility | None | $11.48 | $37.15 | $77.62 |
UPMC Health Plan Setting Professional Modifier None Typical Low $10.00 Median $11.48 Typical High $16.22 | Professional | None | $10.00 | $11.48 | $16.22 |
United Setting Facility Modifier None Typical Low $10.23 Median $13.80 Typical High $37.15 | Facility | None | $10.23 | $13.80 | $37.15 |
United Setting Professional Modifier None Typical Low $5.13 Median $8.32 Typical High $19.95 | Professional | None | $5.13 | $8.32 | $19.95 |
Where Pennsylvania sits
The same service costs 15.1 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· 14th of 51
$14.79
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.