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 $2.75 Median $2.95 Typical High $9.12 | Facility | None | $2.75 | $2.95 | $9.12 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $2.75 Typical High $3.16 | Professional | None | $2.69 | $2.75 | $3.16 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.35 Median $1.38 Typical High $1.55 | Professional | 52 · Reduced service | $1.35 | $1.38 | $1.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.54 Median $0.56 Typical High $0.62 | Professional | 53 · Discontinued | $0.54 | $0.56 | $0.62 |
Ambetter Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $2.09 | Professional | None | $2.09 | $2.09 | $2.09 |
AmeriHealth Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $95.50 | Facility | None | $30.90 | $30.90 | $95.50 |
Capital Blue Cross Setting Facility Modifier None Typical Low $19.50 Median $25.70 Typical High $5,011.87 | Facility | None | $19.50 | $25.70 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $7.76 | Professional | None | $2.69 | $2.69 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $2.40 Median $5.25 Typical High $10.23 | Facility | None | $2.40 | $5.25 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $3.47 Typical High $8.13 | Professional | None | $2.19 | $3.47 | $8.13 |
Emblem Health Setting Professional Modifier None Typical Low $1.62 Median $1.62 Typical High $5.01 | Professional | None | $1.62 | $1.62 | $5.01 |
Geisinger Setting Facility Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Facility | None | $3.47 | $3.47 | $3.47 |
Geisinger Setting Professional Modifier None Typical Low $2.95 Median $3.89 Typical High $5.13 | Professional | None | $2.95 | $3.89 | $5.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $4.47 Median $7.41 Typical High $18.62 | Facility | None | $4.47 | $7.41 | $18.62 |
Highmark BCBS Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | None | $2.57 | $2.57 | $2.57 |
Independence Blue Cross Setting Facility Modifier None Typical Low $6.31 Median $14.45 Typical High $77.62 | Facility | None | $6.31 | $14.45 | $77.62 |
Martin's Point Setting Facility Modifier None Typical Low $2.75 Median $2.95 Typical High $10.00 | Facility | None | $2.75 | $2.95 | $10.00 |
Martin's Point Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $3.16 | Professional | None | $2.75 | $2.75 | $3.16 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.38 Median $1.38 Typical High $1.45 | Professional | 52 · Reduced service | $1.38 | $1.38 | $1.45 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.56 Typical High $0.58 | Professional | 53 · Discontinued | $0.56 | $0.56 | $0.58 |
UPMC Health Plan Setting Facility Modifier None Typical Low $3.47 Median $13.80 Typical High $28.84 | Facility | None | $3.47 | $13.80 | $28.84 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.02 Median $3.47 Typical High $4.90 | Professional | None | $3.02 | $3.47 | $4.90 |
United Setting Facility Modifier None Typical Low $3.09 Median $3.47 Typical High $4.07 | Facility | None | $3.09 | $3.47 | $4.07 |
United Setting Professional Modifier None Typical Low $1.55 Median $2.19 Typical High $6.03 | Professional | None | $1.55 | $2.19 | $6.03 |
Where Pennsylvania sits
The same service costs 6.2 times more in Kansas 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· 35th of 51
$3.16
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.