How much rates vary
Facilitymedian $48 · 10th to 90th $18 to $135Professionalmedian $18 · 10th to 90th $13 to $30
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 $16.98 Median $29.51 Typical High $70.79 | Facility | None | $16.98 | $29.51 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $17.78 Typical High $28.18 | Professional | None | $16.60 | $17.78 | $28.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $8.51 Typical High $9.33 | Professional | 52 · Reduced service | $8.13 | $8.51 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.39 Typical High $3.72 | Professional | 53 · Discontinued | $3.31 | $3.39 | $3.72 |
Ambetter Setting Professional Modifier None Typical Low $12.59 Median $12.88 Typical High $12.88 | Professional | None | $12.59 | $12.88 | $12.88 |
AmeriHealth Setting Facility Modifier None Typical Low $35.48 Median $100.00 Typical High $1,621.81 | Facility | None | $35.48 | $100.00 | $1,621.81 |
Capital Blue Cross Setting Facility Modifier None Typical Low $120.23 Median $154.88 Typical High $5,011.87 | Facility | None | $120.23 | $154.88 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $20.42 | Professional | None | $16.22 | $16.22 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $31.62 Typical High $63.10 | Facility | None | $14.45 | $31.62 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $23.44 Typical High $50.12 | Professional | None | $13.18 | $23.44 | $50.12 |
Emblem Health Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $30.20 | Professional | None | $9.77 | $9.77 | $30.20 |
Geisinger Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Geisinger Setting Professional Modifier None Typical Low $17.78 Median $23.44 Typical High $30.90 | Professional | None | $17.78 | $23.44 | $30.90 |
Highmark BCBS Setting Facility Modifier None Typical Low $30.20 Median $57.54 Typical High $123.03 | Facility | None | $30.20 | $57.54 | $123.03 |
Highmark BCBS Setting Professional Modifier None Typical Low $12.59 Median $15.49 Typical High $17.38 | Professional | None | $12.59 | $15.49 | $17.38 |
Independence Blue Cross Setting Facility Modifier None Typical Low $28.84 Median $89.13 Typical High $199.53 | Facility | None | $28.84 | $89.13 | $199.53 |
Martin's Point Setting Facility Modifier None Typical Low $16.98 Median $32.36 Typical High $70.79 | Facility | None | $16.98 | $32.36 | $70.79 |
Martin's Point Setting Professional Modifier None Typical Low $16.98 Median $17.78 Typical High $28.18 | Professional | None | $16.98 | $17.78 | $28.18 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $8.51 Median $8.51 Typical High $8.91 | Professional | 52 · Reduced service | $8.51 | $8.51 | $8.91 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $3.55 | Professional | 53 · Discontinued | $3.39 | $3.39 | $3.55 |
UPMC Health Plan Setting Facility Modifier None Typical Low $20.89 Median $51.29 Typical High $89.13 | Facility | None | $20.89 | $51.29 | $89.13 |
UPMC Health Plan Setting Professional Modifier None Typical Low $18.20 Median $20.89 Typical High $29.51 | Professional | None | $18.20 | $20.89 | $29.51 |
United Setting Facility Modifier None Typical Low $18.62 Median $20.89 Typical High $25.12 | Facility | None | $18.62 | $20.89 | $25.12 |
United Setting Professional Modifier None Typical Low $9.33 Median $13.80 Typical High $36.31 | Professional | None | $9.33 | $13.80 | $36.31 |
Where Pennsylvania sits
The same service costs 5.6 times more in Vermont than in Alabama. 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
$25.12
VT $85.11AL $15.14
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.