How much rates vary
Facilitymedian $10 · 10th to 90th $4 to $30Professionalmedian $4 · 10th to 90th $2 to $6
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 $3.47 Median $6.61 Typical High $23.44 | Facility | None | $3.47 | $6.61 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $3.31 Median $3.63 Typical High $5.50 | Professional | None | $3.31 | $3.63 | $5.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.70 Median $1.74 Typical High $1.91 | Professional | 52 · Reduced service | $1.70 | $1.74 | $1.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.69 Typical High $0.76 | Professional | 53 · Discontinued | $0.68 | $0.69 | $0.76 |
Ambetter Setting Professional Modifier None Typical Low $2.63 Median $4.27 Typical High $4.27 | Professional | None | $2.63 | $4.27 | $4.27 |
AmeriHealth Setting Facility Modifier None Typical Low $7.24 Median $20.89 Typical High $288.40 | Facility | None | $7.24 | $20.89 | $288.40 |
AmeriHealth Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | None | $2.75 | $2.75 | $2.75 |
Capital Blue Cross Setting Facility Modifier None Typical Low $24.55 Median $31.62 Typical High $5,011.87 | Facility | None | $24.55 | $31.62 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $4.17 | Professional | None | $3.31 | $3.31 | $4.17 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $6.46 Typical High $12.88 | Facility | None | $2.95 | $6.46 | $12.88 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $5.01 Typical High $10.00 | Professional | None | $2.63 | $5.01 | $10.00 |
Emblem Health Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $6.17 | Professional | None | $2.00 | $2.00 | $6.17 |
Geisinger Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Facility | None | $4.27 | $4.27 | $4.27 |
Geisinger Setting Professional Modifier None Typical Low $3.63 Median $4.79 Typical High $6.46 | Professional | None | $3.63 | $4.79 | $6.46 |
Highmark BCBS Setting Facility Modifier None Typical Low $6.61 Median $12.88 Typical High $25.12 | Facility | None | $6.61 | $12.88 | $25.12 |
Highmark BCBS Setting Professional Modifier None Typical Low $2.57 Median $2.82 Typical High $3.55 | Professional | None | $2.57 | $2.82 | $3.55 |
Independence Blue Cross Setting Facility Modifier None Typical Low $6.03 Median $18.20 Typical High $41.69 | Facility | None | $6.03 | $18.20 | $41.69 |
Independence Blue Cross Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $2.88 | Professional | None | $2.75 | $2.75 | $2.88 |
Martin's Point Setting Facility Modifier None Typical Low $3.47 Median $7.24 Typical High $23.44 | Facility | None | $3.47 | $7.24 | $23.44 |
Martin's Point Setting Professional Modifier None Typical Low $3.39 Median $3.63 Typical High $5.50 | Professional | None | $3.39 | $3.63 | $5.50 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.74 Median $1.74 Typical High $1.82 | Professional | 52 · Reduced service | $1.74 | $1.74 | $1.82 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.69 Typical High $0.72 | Professional | 53 · Discontinued | $0.69 | $0.69 | $0.72 |
UPMC Health Plan Setting Facility Modifier None Typical Low $4.27 Median $10.47 Typical High $15.49 | Facility | None | $4.27 | $10.47 | $15.49 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.80 Median $4.27 Typical High $6.03 | Professional | None | $3.80 | $4.27 | $6.03 |
United Setting Facility Modifier None Typical Low $3.80 Median $5.13 Typical High $8.91 | Facility | None | $3.80 | $5.13 | $8.91 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.75 Typical High $7.41 | Professional | None | $1.91 | $2.75 | $7.41 |
Where Pennsylvania sits
The same service costs 15.1 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· 17th of 51
$5.13
VT $48.98MD $3.24
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.