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 $4.47 Median $8.51 Typical High $13.49 | Facility | None | $4.47 | $8.51 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $4.27 Median $4.47 Typical High $5.25 | Professional | None | $4.27 | $4.47 | $5.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.19 Median $2.24 Typical High $2.45 | Professional | 52 · Reduced service | $2.19 | $2.24 | $2.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $0.89 Typical High $1.00 | Professional | 53 · Discontinued | $0.87 | $0.89 | $1.00 |
Ambetter Setting Professional Modifier None Typical Low $3.39 Median $5.50 Typical High $5.50 | Professional | None | $3.39 | $5.50 | $5.50 |
AmeriHealth Setting Facility Modifier None Typical Low $7.59 Median $21.38 Typical High $831.76 | Facility | None | $7.59 | $21.38 | $831.76 |
Capital Blue Cross Setting Facility Modifier None Typical Low $29.51 Median $38.02 Typical High $5,011.87 | Facility | None | $29.51 | $38.02 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $5.13 | Professional | None | $4.27 | $4.27 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $8.32 Typical High $16.60 | Facility | None | $3.89 | $8.32 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $6.17 Typical High $13.18 | Professional | None | $3.39 | $6.17 | $13.18 |
Emblem Health Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $7.94 | Professional | None | $2.57 | $2.57 | $7.94 |
Geisinger Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
Geisinger Setting Professional Modifier None Typical Low $4.68 Median $5.75 Typical High $8.32 | Professional | None | $4.68 | $5.75 | $8.32 |
Highmark BCBS Setting Facility Modifier None Typical Low $8.91 Median $15.85 Typical High $32.36 | Facility | None | $8.91 | $15.85 | $32.36 |
Highmark BCBS Setting Professional Modifier None Typical Low $3.31 Median $4.17 Typical High $4.57 | Professional | None | $3.31 | $4.17 | $4.57 |
Independence Blue Cross Setting Facility Modifier None Typical Low $7.76 Median $20.42 Typical High $1,047.13 | Facility | None | $7.76 | $20.42 | $1,047.13 |
Martin's Point Setting Facility Modifier None Typical Low $4.47 Median $10.23 Typical High $15.85 | Facility | None | $4.47 | $10.23 | $15.85 |
Martin's Point Setting Professional Modifier None Typical Low $4.37 Median $4.47 Typical High $5.13 | Professional | None | $4.37 | $4.47 | $5.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $2.24 Median $2.24 Typical High $2.34 | Professional | 52 · Reduced service | $2.24 | $2.24 | $2.34 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $0.89 Typical High $0.93 | Professional | 53 · Discontinued | $0.89 | $0.89 | $0.93 |
UPMC Health Plan Setting Facility Modifier None Typical Low $5.50 Median $16.98 Typical High $34.67 | Facility | None | $5.50 | $16.98 | $34.67 |
UPMC Health Plan Setting Professional Modifier None Typical Low $4.79 Median $5.50 Typical High $7.24 | Professional | None | $4.79 | $5.50 | $7.24 |
United Setting Facility Modifier None Typical Low $5.01 Median $6.61 Typical High $12.02 | Facility | None | $5.01 | $6.61 | $12.02 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.55 Typical High $8.91 | Professional | None | $2.45 | $3.55 | $8.91 |
Where Pennsylvania sits
The same service costs 12.3 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· 23rd of 51
$6.31
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.