How much rates vary
Facilitymedian $32 · 10th to 90th $12 to $112Professionalmedian $12 · 10th to 90th $8 to $22
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 $12.30 Median $21.38 Typical High $36.31 | Facility | None | $12.30 | $21.38 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.30 Typical High $13.80 | Professional | None | $12.02 | $12.30 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $6.17 Typical High $6.76 | Professional | 52 · Reduced service | $6.03 | $6.17 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.45 Typical High $2.69 | Professional | 53 · Discontinued | $2.40 | $2.45 | $2.69 |
Ambetter Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Capital Blue Cross Setting Facility Modifier None Typical Low $87.10 Median $112.20 Typical High $5,011.87 | Facility | None | $87.10 | $112.20 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $15.14 | Professional | None | $11.75 | $11.75 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $22.91 Typical High $45.71 | Facility | None | $10.72 | $22.91 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $17.38 Typical High $37.15 | Professional | None | $9.55 | $17.38 | $37.15 |
Emblem Health Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $21.88 | Professional | None | $7.08 | $7.08 | $21.88 |
Geisinger Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Geisinger Setting Professional Modifier None Typical Low $12.88 Median $16.98 Typical High $22.91 | Professional | None | $12.88 | $16.98 | $22.91 |
Highmark BCBS Setting Facility Modifier None Typical Low $30.90 Median $67.61 Typical High $141.25 | Facility | None | $30.90 | $67.61 | $141.25 |
Highmark BCBS Setting Professional Modifier None Typical Low $9.12 Median $10.23 Typical High $11.48 | Professional | None | $9.12 | $10.23 | $11.48 |
Martin's Point Setting Facility Modifier None Typical Low $12.30 Median $23.99 Typical High $39.81 | Facility | None | $12.30 | $23.99 | $39.81 |
Martin's Point Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $13.80 | Professional | None | $12.30 | $12.30 | $13.80 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $6.17 Typical High $6.46 | Professional | 52 · Reduced service | $6.17 | $6.17 | $6.46 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $2.57 | Professional | 53 · Discontinued | $2.45 | $2.45 | $2.57 |
UPMC Health Plan Setting Facility Modifier None Typical Low $15.14 Median $58.88 Typical High $123.03 | Facility | None | $15.14 | $58.88 | $123.03 |
UPMC Health Plan Setting Professional Modifier None Typical Low $13.49 Median $15.14 Typical High $21.88 | Professional | None | $13.49 | $15.14 | $21.88 |
United Setting Facility Modifier None Typical Low $13.80 Median $15.14 Typical High $18.20 | Facility | None | $13.80 | $15.14 | $18.20 |
United Setting Professional Modifier None Typical Low $6.46 Median $10.00 Typical High $26.30 | Professional | None | $6.46 | $10.00 | $26.30 |
Where Pennsylvania sits
The same service costs 3.3 times more in South Carolina 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· 21st of 51
$15.14
SC $38.02MD $11.48
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.