How much rates vary
Facilitymedian $6 · 10th to 90th $2 to $17Professionalmedian $2 · 10th to 90th $1 to $3
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 $1.91 Median $3.63 Typical High $12.59 | Facility | None | $1.91 | $3.63 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $1.86 Median $2.00 Typical High $3.16 | Professional | None | $1.86 | $2.00 | $3.16 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.93 Median $0.95 Typical High $1.07 | Professional | 52 · Reduced service | $0.93 | $0.95 | $1.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.37 Median $0.38 Typical High $0.42 | Professional | 53 · Discontinued | $0.37 | $0.38 | $0.42 |
Ambetter Setting Professional Modifier None Typical Low $1.20 Median $1.45 Typical High $1.45 | Professional | None | $1.20 | $1.45 | $1.45 |
AmeriHealth Setting Facility Modifier None Typical Low $3.80 Median $9.33 Typical High $467.74 | Facility | None | $3.80 | $9.33 | $467.74 |
AmeriHealth Setting Professional Modifier None Typical Low $1.55 Median $1.55 Typical High $1.70 | Professional | None | $1.55 | $1.55 | $1.70 |
Capital Blue Cross Setting Facility Modifier None Typical Low $13.49 Median $17.38 Typical High $5,011.87 | Facility | None | $13.49 | $17.38 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $5.37 | Professional | None | $1.86 | $1.86 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $1.66 Median $3.47 Typical High $7.08 | Facility | None | $1.66 | $3.47 | $7.08 |
Cigna Setting Professional Modifier None Typical Low $1.41 Median $2.34 Typical High $4.79 | Professional | None | $1.41 | $2.34 | $4.79 |
Emblem Health Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $3.47 | Professional | None | $1.12 | $1.12 | $3.47 |
Geisinger Setting Facility Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Facility | None | $2.34 | $2.34 | $2.34 |
Geisinger Setting Professional Modifier None Typical Low $2.00 Median $2.63 Typical High $3.55 | Professional | None | $2.00 | $2.63 | $3.55 |
Highmark BCBS Setting Facility Modifier None Typical Low $3.24 Median $6.03 Typical High $11.75 | Facility | None | $3.24 | $6.03 | $11.75 |
Highmark BCBS Setting Professional Modifier None Typical Low $1.58 Median $1.78 Typical High $1.95 | Professional | None | $1.58 | $1.78 | $1.95 |
Independence Blue Cross Setting Facility Modifier None Typical Low $3.80 Median $8.91 Typical High $19.05 | Facility | None | $3.80 | $8.91 | $19.05 |
Independence Blue Cross Setting Professional Modifier None Typical Low $1.55 Median $1.55 Typical High $1.55 | Professional | None | $1.55 | $1.55 | $1.55 |
Martin's Point Setting Facility Modifier None Typical Low $1.91 Median $3.63 Typical High $13.18 | Facility | None | $1.91 | $3.63 | $13.18 |
Martin's Point Setting Professional Modifier None Typical Low $1.91 Median $2.00 Typical High $3.16 | Professional | None | $1.91 | $2.00 | $3.16 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.95 Median $0.95 Typical High $1.00 | Professional | 52 · Reduced service | $0.95 | $0.95 | $1.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.38 Median $0.38 Typical High $0.40 | Professional | 53 · Discontinued | $0.38 | $0.38 | $0.40 |
UPMC Health Plan Setting Facility Modifier None Typical Low $5.50 Median $13.18 Typical High $23.44 | Facility | None | $5.50 | $13.18 | $23.44 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
United Setting Facility Modifier None Typical Low $2.14 Median $2.82 Typical High $7.59 | Facility | None | $2.14 | $2.82 | $7.59 |
United Setting Professional Modifier None Typical Low $1.41 Median $2.34 Typical High $4.07 | Professional | None | $1.41 | $2.34 | $4.07 |
Where Pennsylvania sits
The same service costs 17.0 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
$2.88
VT $32.36MD $1.91
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.