How much rates vary
Facilitymedian $12 · 10th to 90th $4 to $36Professionalmedian $4 · 10th to 90th $3 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 $3.55 Median $5.50 Typical High $12.88 | Facility | None | $3.55 | $5.50 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $3.63 Typical High $5.25 | Professional | None | $3.47 | $3.63 | $5.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.74 Median $1.78 Typical High $1.95 | Professional | 52 · Reduced service | $1.74 | $1.78 | $1.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.71 Typical High $0.79 | Professional | 53 · Discontinued | $0.71 | $0.71 | $0.79 |
Ambetter Setting Professional Modifier None Typical Low $2.69 Median $4.37 Typical High $4.37 | Professional | None | $2.69 | $4.37 | $4.37 |
AmeriHealth Setting Facility Modifier None Typical Low $7.59 Median $20.89 Typical High $144.54 | Facility | None | $7.59 | $20.89 | $144.54 |
Capital Blue Cross Setting Facility Modifier None Typical Low $25.12 Median $32.36 Typical High $5,011.87 | Facility | None | $25.12 | $32.36 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $4.37 | Professional | None | $3.47 | $3.47 | $4.37 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $6.61 Typical High $13.18 | Facility | None | $3.09 | $6.61 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $5.01 Typical High $10.72 | Professional | None | $2.82 | $5.01 | $10.72 |
Emblem Health Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $6.31 | Professional | None | $2.04 | $2.04 | $6.31 |
Geisinger Setting Facility Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Facility | None | $4.37 | $4.37 | $4.37 |
Geisinger Setting Professional Modifier None Typical Low $3.72 Median $4.90 Typical High $6.61 | Professional | None | $3.72 | $4.90 | $6.61 |
Highmark BCBS Setting Facility Modifier None Typical Low $7.41 Median $14.45 Typical High $38.90 | Facility | None | $7.41 | $14.45 | $38.90 |
Highmark BCBS Setting Professional Modifier None Typical Low $2.63 Median $2.95 Typical High $7.41 | Professional | None | $2.63 | $2.95 | $7.41 |
Independence Blue Cross Setting Facility Modifier None Typical Low $6.17 Median $18.62 Typical High $42.66 | Facility | None | $6.17 | $18.62 | $42.66 |
Martin's Point Setting Facility Modifier None Typical Low $3.55 Median $4.90 Typical High $15.49 | Facility | None | $3.55 | $4.90 | $15.49 |
Martin's Point Setting Professional Modifier None Typical Low $3.47 Median $3.63 Typical High $5.25 | Professional | None | $3.47 | $3.63 | $5.25 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.78 Median $1.78 Typical High $1.86 | Professional | 52 · Reduced service | $1.78 | $1.78 | $1.86 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.71 Typical High $0.76 | Professional | 53 · Discontinued | $0.71 | $0.71 | $0.76 |
UPMC Health Plan Setting Facility Modifier None Typical Low $4.37 Median $21.38 Typical High $44.67 | Facility | None | $4.37 | $21.38 | $44.67 |
UPMC Health Plan Setting Professional Modifier None Typical Low $3.89 Median $4.37 Typical High $6.31 | Professional | None | $3.89 | $4.37 | $6.31 |
United Setting Facility Modifier None Typical Low $3.98 Median $5.25 Typical High $15.14 | Facility | None | $3.98 | $5.25 | $15.14 |
United Setting Professional Modifier None Typical Low $2.00 Median $3.02 Typical High $7.59 | Professional | None | $2.00 | $3.02 | $7.59 |
Where Pennsylvania sits
The same service costs 4.2 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· 25th of 51
$4.57
KS $13.80MD $3.31
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.