How much rates vary
Facilitymedian $17 · 10th to 90th $6 to $65Professionalmedian $6 · 10th to 90th $4 to $11
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 $6.03 Median $14.13 Typical High $64.57 | Facility | None | $6.03 | $14.13 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $6.46 Typical High $10.47 | Professional | None | $6.03 | $6.46 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.95 Median $3.02 Typical High $3.39 | Professional | 52 · Reduced service | $2.95 | $3.02 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.23 Typical High $1.35 | Professional | 53 · Discontinued | $1.20 | $1.23 | $1.35 |
Ambetter Setting Professional Modifier None Typical Low $4.47 Median $4.57 Typical High $4.57 | Professional | None | $4.47 | $4.57 | $4.57 |
AmeriHealth Setting Facility Modifier None Typical Low $12.30 Median $37.15 Typical High $1,778.28 | Facility | None | $12.30 | $37.15 | $1,778.28 |
AmeriHealth Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $5.13 | Professional | None | $4.90 | $4.90 | $5.13 |
Capital Blue Cross Setting Facility Modifier None Typical Low $42.66 Median $56.23 Typical High $5,011.87 | Facility | None | $42.66 | $56.23 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $16.98 | Professional | None | $5.89 | $5.89 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $5.25 Median $11.48 Typical High $22.39 | Facility | None | $5.25 | $11.48 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $7.41 Typical High $15.49 | Professional | None | $4.68 | $7.41 | $15.49 |
Emblem Health Setting Professional Modifier None Typical Low $2.04 Median $3.55 Typical High $10.96 | Professional | None | $2.04 | $3.55 | $10.96 |
Geisinger Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Geisinger Setting Professional Modifier None Typical Low $6.46 Median $8.32 Typical High $11.22 | Professional | None | $6.46 | $8.32 | $11.22 |
Highmark BCBS Setting Facility Modifier None Typical Low $11.75 Median $20.42 Typical High $46.77 | Facility | None | $11.75 | $20.42 | $46.77 |
Highmark BCBS Setting Professional Modifier None Typical Low $4.47 Median $5.62 Typical High $5.62 | Professional | None | $4.47 | $5.62 | $5.62 |
Independence Blue Cross Setting Facility Modifier None Typical Low $15.85 Median $645.65 Typical High $1,380.38 | Facility | None | $15.85 | $645.65 | $1,380.38 |
Independence Blue Cross Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $5.13 | Professional | None | $4.90 | $4.90 | $5.13 |
Martin's Point Setting Facility Modifier None Typical Low $6.03 Median $16.22 Typical High $64.57 | Facility | None | $6.03 | $16.22 | $64.57 |
Martin's Point Setting Professional Modifier None Typical Low $6.03 Median $6.46 Typical High $11.48 | Professional | None | $6.03 | $6.46 | $11.48 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $3.02 Median $3.02 Typical High $3.24 | Professional | 52 · Reduced service | $3.02 | $3.02 | $3.24 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.23 Typical High $1.29 | Professional | 53 · Discontinued | $1.23 | $1.23 | $1.29 |
UPMC Health Plan Setting Facility Modifier None Typical Low $17.38 Median $20.89 Typical High $36.31 | Facility | None | $17.38 | $20.89 | $36.31 |
UPMC Health Plan Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
United Setting Facility Modifier None Typical Low $2.45 Median $7.59 Typical High $9.12 | Facility | None | $2.45 | $7.59 | $9.12 |
United Setting Professional Modifier None Typical Low $3.39 Median $4.90 Typical High $13.18 | Professional | None | $3.39 | $4.90 | $13.18 |
Where Pennsylvania sits
The same service costs 21.4 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· 21st of 51
$8.91
VT $120MD $5.62
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.